Individual
NITI MISTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1255 BROAD ST, BLOOMFIELD, NJ 07003-3000
(973) 338-7575
(973) 338-5158
Mailing address
11103 WEST AVE, 6, SAN ANTONIO, TX 78213-1370
(210) 524-6509
(210) 524-6587
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00584800
NJ
Other
Enumeration date
08/23/2007
Last updated
04/23/2008
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