Individual
MR. CHRISTOPHER MICHAEL KRAUTHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
105 BRICK MALL, BRICK, NJ 08723-4163
(732) 477-7101
(732) 477-7008
Mailing address
105 BRICK MALL, BRICK, NJ 08723
(732) 477-7101
(732) 477-7008
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
D 2257
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23860
SPECTERA
NJ
01
—
NJ23860
EYEMED
NJ
Enumeration date
05/08/2007
Last updated
07/08/2007
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