Individual
DR. NICKY DESPOTIDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1777 KUSER RD, HAMILTON SQUARE, NJ 08690-3703
(609) 581-5755
(609) 581-7055
Mailing address
11 LEONARD DR, MORGANVILLE, NJ 07751-1664
(732) 972-3275
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
270A00469400
NJ
Other
Enumeration date
06/18/2007
Last updated
09/19/2007
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