Individual
MR. PAUL M GALLINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICENSED OPTICIAN
Contact information
Practice address
1619 PALISADE AVE, FORT LEE, NJ 07024-6930
(201) 947-9797
(201) 947-9790
Mailing address
1619 PALISADE AVE, FORT LEE, NJ 07024-6930
(201) 947-9797
(201) 947-9790
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
TD2212
NJ
Other
Enumeration date
11/28/2011
Last updated
11/28/2011
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