Individual
DR. CHIN-TSAI CYNTHIA PONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
112 SOUTH ORANGE AVENUE, SEARS OPTICAL / LIVINGSTON MALL, LIVINGSTON, NJ 07039-4904
(973) 994-1184
(973) 994-4850
Mailing address
60 GATHERINGHILL CT, MORRIS PLAINS, NJ 07950-1192
(917) 817-8219
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
270A00612700
NJ
Other
Enumeration date
04/08/2008
Last updated
12/17/2009
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