Individual
MARIANNA TERESCHENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
112 EISENHOWER PKWY, C/O LENSCRAFTERS, LIVINGSTON, NJ 07039-4995
(973) 535-1171
Mailing address
112 EISENHOWER PKWY, C/O LENSCRAFTERS, LIVINGSTON, NJ 07039-4995
(973) 535-1171
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA05891
NJ
Other
Enumeration date
10/03/2006
Last updated
07/29/2008
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