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Individual

DR. MICHAEL THOMAS MONTENARE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
541 CEDAR HILL AVE STE H, WYCKOFF, NJ 07481-2150
(631) 455-7123
Mailing address
67 COTTAGE ST FL 1, MIDLAND PARK, NJ 07432-1953
(631) 455-7123

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00641300
NJ
152WV0400X
Vision Therapy Optometrist
27OA00641300
NJ

Other

Enumeration date
08/29/2012
Last updated
01/03/2018
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