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Individual

DR. CARMELA LOSURDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
200 S ORANGE AVE, SUITE 209, LIVINGSTON, NJ 07039-5817
(973) 322-0100
Mailing address
899 VALLEY RD, WAYNE, NJ 07470-2973
(201) 621-1459

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
270A00598702
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0084875
NJ
Enumeration date
12/05/2006
Last updated
09/11/2014
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