Individual
DR. KENNETH A WEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
290 S LIVINGSTON AVE, LIVINGSTON, NJ 07039-3931
(973) 994-4220
Mailing address
290 S LIVINGSTON AVE, LIVINGSTON, NJ 07039-3931
(973) 994-4220
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00350400
NJ
Other
Enumeration date
07/29/2010
Last updated
07/29/2010
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