Organization
MT HOLLY EYE PHYSICIANS & SURGEONS
Active
Other names
Mt Holly Optical
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY GROSSMAN MD (SUPERVISOR)
(609) 267-5577
Entity
Organization
Contact information
Practice address
1613 ROUTE 38, LUMBERTON, NJ 08048-2921
(609) 267-5577
(609) 267-5570
Mailing address
1613 ROUTE 38, LUMBERTON, NJ 08048-2921
(609) 267-5577
(609) 267-5570
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
MA65455
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3099717
—
NJ
Enumeration date
05/08/2007
Last updated
06/27/2008
Update your record
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