Individual
MRS. YELENA MARYAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
900 STUYVESANT AVE, UNION, NJ 07083
(908) 687-0330
(908) 687-0139
Mailing address
900 STUYVESANT AVE, UNION, NJ 07083
(908) 687-0330
(908) 687-0139
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00583500
NJ
152W00000X
Optometrist
27TO00122500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8683682
CIGNA
—
Enumeration date
01/13/2006
Last updated
07/08/2007
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