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Individual

SCOTT M PELCYGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
6 BARTHOLDI AVE, BUTLER, NJ 07405-1402
(973) 838-1096
(973) 838-1768
Mailing address
6 BARTHOLDI AVE, BUTLER, NJ 07405-1402
(973) 838-1096
(973) 838-1768

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2871
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
222211575
FEDERAL TAX ID
NJ
01
41032
AETNA
NJ
05
4705700
NJ
Enumeration date
08/08/2006
Last updated
05/12/2011
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