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Contact Information

PEDIATRIC OPHTHALMOLOGY OF NJ, P.C.
57 WILLOWBROOK BLVD
SUITE 411
WAYNE, NJ07470-7047
 Phone: 973-256-4111
 Fax: 973-256-3719
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Pediatric Ophthalmology and Strabismus Specialist

207WX0110X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for PEDIATRIC OPHTHALMOLOGY OF NJ PC · (Female)

NPI Number 1164460218
Status Active
Credentials
Entity Individual
Enumeration date 06/02/2006
Last updated 04/20/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ Medicaid 8550204
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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