Individual
DR. GARY STEVEN EDELSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
38 W MAIN ST, MAPLE SHADE, NJ 08052-2432
(856) 779-7595
(856) 779-7596
Mailing address
38 W MAIN ST, MAPLE SHADE, NJ 08052-2432
(856) 779-7595
(856) 779-7596
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NJ 4996
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014929001
MDCR DMERC
NJ
01
—
0402335000
AMERIHEALTH/KEYSTONE HMO
NJ
05
—
0604402
—
NJ
01
—
132507
COLE VISION
NJ
01
—
26010
AMERICHOICE
NJ
01
—
2K1495
HEALTH NET
NJ
01
—
3416405
CIGNA
NJ
01
—
35237
DAVIS VISION
NJ
01
—
5548003
AETNA
NJ
01
—
580720
BC/BS PA
NJ
01
—
NJ 4996
EYEMED VISION
NJ
01
—
NJ84996
VISION BENEFITS AMERICA
NJ
Enumeration date
02/27/2006
Last updated
02/03/2011
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