Individual
GUSTIE CHRISTOPHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
154 ROUTE 10 WEST, UNIT 4B, EAST HAVOVER, NJ 07936-2107
(973) 887-0216
Mailing address
5 LAWRENCE ST, PH 32, BLOOMFIELD, NJ 07003-4631
(305) 879-9881
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
270800662000
NJ
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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