Individual
DR. TODD HOWARD GERSHENOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1001 ROUTE 70 UNIT B1, MANCHESTER, NJ 08759-5804
(732) 657-1400
(732) 657-1402
Mailing address
PO BOX 208944, DALLAS, TX 75320-8944
(636) 200-4393
(636) 527-0766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
270A00519700
NJ
152W00000X
Optometrist
27TO00000800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5293405
—
NJ
01
—
U38901
UPIN
NJ
Enumeration date
05/27/2005
Last updated
11/18/2022
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