Individual
DR. SUNNY MUKUL RAITHATHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
461 CENTRAL AVE, JERSEY CITY, NJ 07307-2740
(201) 420-0101
Mailing address
59 MAGNOLIA AVE, JERSEY CITY, NJ 07306-1813
(201) 724-2227
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009437
NY
Other
Enumeration date
08/29/2021
Last updated
08/29/2021
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