Organization
MONTCLAIR VISION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TED R FRIEDMAN O.D. (PRESIDENT)
(973) 744-4334
Entity
Organization
Contact information
Practice address
103 PARK ST, MONTCLAIR, NJ 07042-5913
(973) 744-4334
(973) 744-4466
Mailing address
103 PARK ST, MONTCLAIR, NJ 07042-5913
(973) 744-4334
(973) 744-4466
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NJ4038
NJ
Other
Enumeration date
11/16/2007
Last updated
11/16/2007
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