Individual
SARA SHKALIM SHISSIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
204 HADDON AVE, WEST BERLIN, NJ 08091-1607
(856) 768-2515
(856) 768-7451
Mailing address
204 HADDON AVE, WEST BERLIN, NJ 08091-1607
(856) 768-2515
(856) 768-7451
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00632300
NJ
152W00000X
Optometrist
OEG002407
PA
152WL0500X
Low Vision Rehabilitation Optometrist
27OA00632300
NJ
Other
Enumeration date
08/24/2010
Last updated
02/09/2024
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