Individual
DR. STEVEN L EHRENWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O,D.
Contact information
Practice address
348 MAIN ST, HACKENSACK, NJ 07601-5803
(201) 342-4255
Mailing address
348 MAIN ST, HACKENSACK, NJ 07601-5803
(201) 342-4255
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00384500
NJ
152W00000X
Optometrist
27TO00046000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0611107
—
NJ
Enumeration date
06/26/2006
Last updated
05/19/2012
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