Organization
COVENTRY OPTICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN L COOLEY M.D. (CO-OWNER)
(908) 859-6055
Entity
Organization
Contact information
Practice address
10 BRASS CASTLE RD, WASHINGTON, NJ 07882-6309
(908) 835-2697
Mailing address
800 COVENTRY DR, PHILLIPSBURG, NJ 08865-1973
(908) 454-4858
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
31TD00313203
NJ
Other
Enumeration date
04/09/2009
Last updated
11/10/2014
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