Organization
FOR YOUR EYES ONLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONIA RAITHATHA (MANAGER)
(908) 629-1122
Entity
Organization
Contact information
Practice address
507 MARTIN LUTHER KING, EAST ORANGE, NJ 07018-2214
(973) 677-7200
(973) 677-7300
Mailing address
507 MARTIN LUTHER KING, EAST ORANGE, NJ 07018-2214
(973) 677-7200
(973) 677-7300
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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