Organization
SPECIALTY EYE SURGEON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIETONI ORDONO (CREDENTIALING MANAGER)
(908) 222-8700
Entity
Organization
Contact information
Practice address
40 UNION AVE STE 106, IRVINGTON, NJ 07111-3290
(908) 222-8700
Mailing address
40 UNION AVE STE 106, IRVINGTON, NJ 07111-3290
(908) 222-8700
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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