Individual
MR. BRUCE E MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
30 GIBRALTAR DR, POWDER MILL PLAZA, RT 10 EAST, MORRIS PLAINS, NJ 07950-1273
(973) 267-2111
Mailing address
30 GIBRALTAR DR, POWDER MILL PLAZA, RT 10 EAST, MORRIS PLAINS, NJ 07950-1273
(973) 267-2111
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
874
NJ
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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