Organization
MONTCLAIR FAMILY EYECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA ANTONELLI OD (AUTHORIZED OFFICIAL/OD)
(770) 356-0692
Entity
Organization
Contact information
Practice address
547 VALLEY RD, MONTCLAIR, NJ 07043-1880
(973) 783-6446
(973) 783-6448
Mailing address
547 VALLEY RD, MONTCLAIR, NJ 07043-1880
(973) 783-6446
(973) 783-6448
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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