Organization
MGM OPTICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC DANIEL GOOTMAN (PRESIDENT)
(732) 536-0460
Entity
Organization
Contact information
Practice address
345 UNION HILL RD, MANALAPAN, NJ 07726-1875
(732) 536-0460
(732) 536-0421
Mailing address
345 UNION HILL RD, MANALAPAN, NJ 07726-1875
(732) 536-0460
(732) 536-0421
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
31TD00151100
NJ
Other
Enumeration date
01/01/2007
Last updated
01/13/2009
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