Organization
HOBOKEN WISE VISION & HEARING LLC
Active
Other names
Wise Vision & Hearing
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUBEN DARIO HENRIQUEZ OPTICIAN (PRESIDENT)
(201) 792-5100
Entity
Organization
Contact information
Practice address
334 WASHINGTON ST, HOBOKEN, NJ 07030-4842
(201) 792-5100
Mailing address
334 WASHINGTON ST, HOBOKEN, NJ 07030-4842
(201) 792-5100
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
31TD00172300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6731406
—
NJ
Enumeration date
09/24/2008
Last updated
10/29/2008
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