Individual
MR. RICHARD MICHAEL SHETZLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4423 RTE 130 SOUTH, BURLINGTON, NJ 08016
(609) 386-0202
(609) 386-5927
Mailing address
4423 RTE 130 SOUTH, BURLINGTON, NJ 08016
(609) 386-0202
(609) 386-5927
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5549
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8757501
—
NJ
Enumeration date
11/21/2006
Last updated
01/21/2010
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