Individual
DR. LAILA F ABBAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD (OPTOMETRIST)
Contact information
Practice address
1135 MAIN AVE FL 1, CLIFTON, NJ 07011-2353
(973) 685-7280
Mailing address
1135 MAIN AVE FL 1, CLIFTON, NJ 07011-2353
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00674900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14000261
CAQH
NJ
01
—
27OA00674900
NJ BOARD LICENSE
NJ
Enumeration date
07/07/2017
Last updated
07/19/2017
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