Individual
DEAN N SHISSIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
9701 VENTNOR AVE, MARGATE CITY, NJ 08402-2222
(609) 822-4242
(609) 822-3211
Mailing address
9701 VENTNOR AVE, MARGATE CITY, NJ 08402-2222
(609) 399-6102
(609) 399-4424
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OA04264
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2533201
—
NJ
Enumeration date
08/02/2005
Last updated
12/20/2018
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