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Organization

EYEWELLNISS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JORDAN NISSINOFF (OWNER/OPERATOR)
(321) 537-9976
Entity
Organization

Contact information

Practice address
112 EISENHOWER PKWY STE 44, LIVINGSTON, NJ 07039-4900
(973) 535-3344
Mailing address
2 12TH ST APT PH07, HOBOKEN, NJ 07030-6785
(321) 537-9976

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
07/22/2022
Last updated
08/10/2023
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