Individual
ETHAN SKYLAR VOGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1455 BROAD ST STE 110, BLOOMFIELD, NJ 07003-3039
(973) 779-0808
(973) 471-1929
Mailing address
1455 BROAD ST STE 110, BLOOMFIELD, NJ 07003-3039
(973) 779-0808
(973) 471-1929
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
27OA00725300
NJ
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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