Individual
MRS. EMMA MUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
92 RTE23N, SUITE E, RIVERDALE, NJ 07457
(973) 248-1188
(973) 248-1125
Mailing address
92 RTE 23 N, SUITE E, RIVERDALE, NJ 07457
(973) 248-1188
(973) 248-1125
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
31TD00305000
NJ
Other
Enumeration date
02/12/2008
Last updated
02/12/2008
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