Organization
SANTAMARIA EYE CENTER P A
Active
Organization
SANTAMARIA EYE CENTER P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MENCIA DISLA (PRACTICE ADMINISTRATOR)
(732) 826-5159
Entity
Organization
Contact information
Practice address
100 MENLO PARK DRIVE, SUITE 408, EDISON, NJ 08837
(732) 826-5159
(732) 826-2107
Mailing address
100 MENLO PARK DRIVE, SUITE 408, EDISON, NJ 08837
(732) 826-5159
(732) 826-2107
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MA034125
NJ
Other
Enumeration date
05/19/2009
Last updated
09/19/2019
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