Individual
DR. POONAM K BHAVSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5917 BERGENLINE AVE, WEST NEW YORK, NJ 07093-1306
(201) 861-0016
(218) 617-7303
Mailing address
5917 BERGENLINE AVE, WEST NEW YORK, NJ 07093-1306
(201) 861-0016
(218) 617-7303
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00707600
NJ
152W00000X
Optometrist
27OM00174900
NJ
Other
Enumeration date
08/19/2021
Last updated
11/11/2024
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