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Individual

MR. ROBERT CHARLES MICHNOFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6 WEST SPRUCE STREET, VISION EYEWEAR, LAKEWOOD, NJ 08701-5007
(732) 364-1771
(732) 364-1772
Mailing address
6 WEST SPRUCE STREET, VISION EYEWEAR, LAKEWOOD, NJ 08701-5007
(732) 364-1771
(732) 364-1772

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
D1625
NJ

Other

Enumeration date
09/14/2007
Last updated
06/30/2008
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