Individual
JOHN KNOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
582 CENTRAL AVE, EAST ORANGE, NJ 07018-1936
(973) 674-3808
(973) 674-3943
Mailing address
330, 8TH STREET, CARLSTADT, NJ 07072
(201) 438-7598
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1807
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6012809
—
NJ
Enumeration date
05/04/2007
Last updated
07/09/2007
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