Individual
MARINA MEGALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
348 RIDGE RD, LYNDHURST, NJ 07071-2229
(201) 438-8668
Mailing address
818 7TH ST # A, SECAUCUS, NJ 07094-3330
(201) 713-7216
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00690300
NJ
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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