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Organization

JERSEY GARDENS OPTICAL, LLL

Active
Other names
Cohen's Fashion Optical
Organization subpart
No

Provider details

NPI number
Authorized official
MR. YAN VAYNER (PRESIDENT/FRANCHISEE)
(908) 354-1599
Entity
Organization

Contact information

Practice address
651 KAPKOWSKI RD, SUITE 1236, ELIZABETH, NJ 07201-4901
(908) 354-1599
(908) 354-1344
Mailing address
651 KAPKOWSKI RD, SUITE 1236, ELIZABETH, NJ 07201-4901
(908) 354-1599
(908) 354-1344

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
31TD00325201
NJ

Other

Enumeration date
08/06/2009
Last updated
08/06/2009
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