Individual
MARYELLEN GALLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2250 ECHELON MALL, VOORHEES, NJ 08043-1943
(856) 772-6331
Mailing address
2250 ECHELON MALL, VOORHEES, NJ 08043-1943
(856) 772-6331
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00460300
NJ
Other
Enumeration date
12/30/2005
Last updated
02/06/2014
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