Individual
DR. EDWARD ARTHUR FORSZT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5218 BERGENLINE AVE, WEST NEW YORK, NJ 07093-5524
(201) 974-2999
Mailing address
5218 BERGENLINE AVE, WEST NEW YORK, NJ 07093-5524
(201) 974-2999
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0A4557
NJ
152WC0802X
Corneal and Contact Management Optometrist
OA4557
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5134102
—
NJ
01
—
5958154
AETNA
NJ
Enumeration date
07/12/2007
Last updated
07/12/2007
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