Organization
NATALIA RAEVA OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATALIA RAEVA OD (PRESIDENT)
(201) 414-6490
Entity
Organization
Contact information
Practice address
32-01 BROADWAY, FAIR LAWN, NJ 07410-4616
(201) 414-6490
(201) 886-2160
Mailing address
1203 RIVER RD APT 16D, EDGEWATER, NJ 07020-1465
(201) 414-6490
(201) 886-2160
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00576500
NJ
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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