Individual
MR. JIM DELA BARERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1083 BROAD ST, BLOOMFIELD, NJ 07003-2918
(973) 338-1717
(973) 338-1717
Mailing address
1083 BROAD ST, BLOOMFIELD, NJ 07003-2918
(973) 338-1717
(973) 338-1717
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
D3037
NJ
Other
Enumeration date
10/04/2007
Last updated
10/04/2007
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