Organization
RALPH S BULLOCK AND SON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RALPH SAMUEL BULLOCK JR. (OPTICIAN)
(856) 881-3666
Entity
Organization
Contact information
Practice address
725 N MAIN ST, GLASSBORO, NJ 08028-1653
(856) 881-3666
(856) 881-3666
Mailing address
725 N MAIN ST, GLASSBORO, NJ 08028-1653
(856) 881-3666
(856) 881-3666
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
12/22/2006
Last updated
08/22/2020
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