Organization
OPHTHALMOLOGY OF MONTCLAIR LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHRYN PHYLLIS CHILDS MD (OWNER)
(973) 509-6039
Entity
Organization
Contact information
Practice address
33 N FULLERTON AVE, 1ST FLOOR, MONTCLAIR, NJ 07042-3412
(973) 509-6039
(973) 509-6069
Mailing address
33 N FULLERTON AVE, 1ST FLOOR, MONTCLAIR, NJ 07042-3412
(973) 509-6039
(973) 509-6069
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA07491800
NJ
Other
Enumeration date
02/08/2007
Last updated
08/27/2007
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