Organization
BEYOND 2020 VTC PROFESSIONAL CORPORATION
Active
Other names
KP Eye Clinic PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRTI PATEL O.D. (OPTOMETRIST)
(732) 770-9311
Entity
Organization
Contact information
Practice address
601 HAMILTON AVE, TRENTON, NJ 08629-1915
(732) 770-9311
Mailing address
20 SPRUCE MEADOWS DR, MONROE TOWNSHIP, NJ 08831-3103
(732) 770-9311
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
27OA00628300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0313564
—
NJ
Enumeration date
09/22/2014
Last updated
09/22/2014
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