Organization
ENVISIONSEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADA NOH OD (OWNER)
(724) 612-7202
Entity
Organization
Contact information
Practice address
206 KINGS HWY E, HADDONFIELD, NJ 08033-1905
(856) 429-6930
Mailing address
206 KINGS HWY E, HADDONFIELD, NJ 08033-1905
(856) 429-6930
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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