Individual
DR. RAYMOND NEIL MANCUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5 JULIUSTOWN RD, BROWNS MILLS, NJ 08015-3628
(609) 893-7575
Mailing address
PO BOX 73, BROWNS MILLS, NJ 08015-0073
(609) 893-7575
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00284000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0061023
AETNA
NJ
01
—
0439912000
AMERIHEALTH
NJ
01
—
0597121
CIGNA
NJ
01
—
06810
DAVIS VISION
NJ
05
—
0728306
—
NY
01
—
144614
EYEMED
NJ
01
—
208234
USFHP
NJ
01
—
223165234
AMERIHEALTH/BLAIR MILL
NJ
01
—
2231652340
BCBS
NJ
01
—
311566
NVA
NJ
01
—
P3180949
OXFORD
NJ
Enumeration date
06/09/2006
Last updated
08/03/2020
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