Individual
DR. NATHAN THOMAS DEDEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2206 W COUNTY LINE RD, JACKSON, NJ 08527-2251
(732) 364-4111
(732) 901-0314
Mailing address
2206 W COUNTY LINE RD, JACKSON, NJ 08527-2251
(732) 364-4111
(732) 901-0314
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27-OA-00600100
NJ
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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