Individual
BROOKE GOONETILLEKE-ALVARADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
17-17 ROUTE 208 STE 350, FAIR LAWN, NJ 07410-2819
(908) 291-1036
(833) 760-1845
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00714900
NJ
152W00000X
Optometrist
TUV009604-01
NY
Other
Enumeration date
12/09/2022
Last updated
03/16/2026
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