Individual
JAIME BLYSKAL MARCOLINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
186 CENTER ST STE 170, CLINTON, NJ 08809-1385
(908) 735-5712
Mailing address
186 CENTER ST STE 170, CLINTON, NJ 08809-1385
(908) 735-5712
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00573300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
866202
—
NJ
Enumeration date
10/16/2006
Last updated
10/08/2008
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