Individual
DR. SANDRA KANTOREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1485 MORRIS AVE, UNION, NJ 07083-6332
(908) 687-3433
(908) 687-0589
Mailing address
1485 MORRIS AVE, UNION, NJ 07083-6332
(908) 687-3433
(908) 687-0589
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00368600
NJ
152W00000X
Optometrist
27OM00047500
NJ
152W00000X
Optometrist
TPA 27TO00029600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222209011
HORIZON BLUE CROSS & BLUE SHIELD OF NJ
NJ
01
—
334259
GREAT-WEST HEALTH ID
NJ
01
—
410006990
PALMETTO GBA-RAILROAD MEDICARE
NJ
01
—
545317
AETNA U.S. HEATHCARE ID
NJ
01
—
6500580
GHI PROVIDER ID
NJ
01
—
C7E921
EMPIRE BC ID
NJ
01
—
F09898
HEALTH NET ID
NJ
01
—
P479247
OXFORD HEALTH PLAN ID
NJ
Enumeration date
09/16/2005
Last updated
09/29/2009
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