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Individual

SERGIO PENEIRAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
225 GORDONS CORNER RD, SUITE 1C, MANALAPAN, NJ 07726-3356
(732) 792-9800
Mailing address
22 BUNKER HILL RD, FREEHOLD, NJ 07728-1381
(732) 410-4640

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
270A0056760
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8358401
NJ
Enumeration date
04/27/2006
Last updated
09/25/2012
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