Individual
MARIAM ELIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
685 KEARNY AVE, KEARNY, NJ 07032
(201) 461-0020
Mailing address
71 ILFORD AVE, NORTH ARLINGTON, NJ 07031-5913
(201) 875-7665
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00729000
NJ
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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