Individual
DR. DANIEL DESRIVIERES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
32 N DAY ST, ORANGE, NJ 07050-3609
(973) 676-8113
Mailing address
33 BIRCH RIDGE RD, HARDWICK, NJ 07825-9546
(973) 676-8113
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OA04844
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063683258
751 NPI
NJ
01
—
1194996645
444 WILLIAMS
NJ
01
—
1235300799
37 N DAY
NJ
01
—
1548431091
982 BROAD NPI
NJ
01
—
1619148160
516 BERGEN
NJ
01
—
1740345693
741 BROADWAY
NJ
01
—
1932370483
101 LUDLOW
NJ
01
—
1972778413
1148-1150 SPRINGFIELD AVE
NJ
Enumeration date
11/20/2006
Last updated
06/03/2008
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