Organization
ASSOCIATED RETINAL CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HASTIE (VP, CREDENTIALING AND PAYER RELATIO)
(214) 415-9671
Entity
Organization
Contact information
Practice address
103 OLD MARLTON PIKE STE 216, MEDFORD, NJ 08055-8772
(609) 714-8761
Mailing address
420 MOUNTAIN AVE FL 4, NEW PROVIDENCE, NJ 07974-2736
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
207W00000X
Ophthalmology Physician
—
—
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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