Individual
ALI ELHABBAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 ANDERSON AVE, FAIRVIEW, NJ 07022-2154
(201) 658-9692
Mailing address
1 ANDERSON AVE, FAIRVIEW, NJ 07022-2154
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
31TD00365202
NJ
Other
Enumeration date
02/07/2010
Last updated
02/07/2010
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