Organization
MAPLE EYE CARE ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO J PALLOTTA JR. OD (OWNER)
(201) 444-3173
Entity
Organization
Contact information
Practice address
195 S MAPLE AVE, RIDGEWOOD, NJ 07450-5142
(201) 444-3173
(201) 251-4868
Mailing address
195 S MAPLE AVE, RIDGEWOOD, NJ 07450-5142
(201) 444-3173
(201) 251-4868
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0A2423
NJ
Other
Enumeration date
06/05/2008
Last updated
06/09/2008
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