Individual
YASIR DAIFALLAH MASADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
461 CENTRAL AVE, JERSEY CITY, NJ 07307-2740
(201) 420-1222
(201) 420-1369
Mailing address
461 CENTRAL AVE, JERSEY CITY, NJ 07307-2740
(201) 420-1222
(201) 420-1369
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00615400
NJ
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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