Organization
WAYNE A MUCK, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE A MUCK O.D. (OWNER)
(732) 462-0177
Entity
Organization
Contact information
Practice address
222 SOUTH ST, FREEHOLD, NJ 07728-2619
(732) 462-0177
(732) 462-5680
Mailing address
222 SOUTH ST, FREEHOLD, NJ 07728-2619
(732) 462-0177
(732) 462-5680
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
3009
NJ
Other
Enumeration date
04/01/2008
Last updated
06/19/2008
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