Organization
EYE CARE OF RIVER EDGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTA R PONCE-CONTRERAS M.D. (OPHTHALMOLOGY)
(201) 489-0096
Entity
Organization
Contact information
Practice address
1060 MAIN ST, SUITE 301, RIVER EDGE, NJ 07661-2591
(201) 489-0096
(201) 489-2930
Mailing address
1060 MAIN ST, SUITE 301, RIVER EDGE, NJ 07661-2591
(201) 489-0096
(201) 489-2930
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA08184500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
387749500
AMERIHEALTH
NJ
01
—
7044084
CIGNA
NJ
01
—
7223970
AETNA
NJ
01
—
P4464080
OXFORD
NJ
Enumeration date
02/29/2012
Last updated
05/23/2012
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