Organization
GALLINA VISION CENTER,LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL M GALLINA SR. NJ LICENSED OPTICIAN (OWNER/OPTICIAN)
(201) 947-9797
Entity
Organization
Contact information
Practice address
1619 PALISADE AVE, FORT LEE, NJ 07024-6930
(201) 947-9797
(201) 947-9790
Mailing address
1619 PALISADE AVE, FORT LEE, NJ 07024-6930
(201) 947-9797
(201) 947-9790
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
31TD00221200
NJ
Other
Enumeration date
09/04/2009
Last updated
09/04/2009
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