Healthcare Provider Details
I. General information
NPI: 1629061825
Provider Name (Legal Business Name): PARSIPPANY EYECARE ASSOCIATES PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/24/2005
Last Update Date: 04/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
46 EAGLE ROCK AVE
EAST HANOVER NJ
07936-3104
US
IV. Provider business mailing address
46 EAGLE ROCK AVE
EAST HANOVER NJ
07936-3104
US
V. Phone/Fax
- Phone: 973-560-1500
- Fax: 973-560-0419
- Phone: 973-560-1500
- Fax: 973-560-0419
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | MA47324 |
| License Number State | NJ |
VIII. Authorized Official
Name: DR.
CARY
M
SILVERMAN
Title or Position: OWNER
Credential: MD
Phone: 973-560-1500