Individual
DR. THEODORE PERL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 PASSAIC AVE, SUITE 200, FAIRFIELD, NJ 07004-3520
(973) 439-3937
(973) 439-3944
Mailing address
100 PASSAIC AVE, SUITE 200, FAIRFIELD, NJ 07004-3520
(973) 439-3937
(973) 439-3944
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MAO43248
NJ
Other
Enumeration date
05/23/2006
Last updated
03/24/2011
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