Individual
AMNEH KADDOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
485 US 1, ISELIN, NJ 08830
(732) 750-0400
Mailing address
10225 67TH DR APT 5R, FOREST HILLS, NY 11375-2877
(201) 838-0575
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
009396
NY
152W00000X
Optometrist
Primary
27OA00706800
NJ
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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