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General NPI Number Information
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NPI Number | 1497798763
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Entity Type | Organization
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Legal Business Name | GUBMAN EYE ASSOCIATES, PA
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 03/16/2020
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Provider Practice Location Address
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Address Line | 2 SHEPPARD RD STE 303
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City | VOORHEES
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State | NJ
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Zip | 08043-4787
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Country | US
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Telephone | 856-751-0220
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Fax | 856-751-0222
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Provider Business Mailing Address
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Address Line | 303 SHEPPARD RD
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City | VOORHEES
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State | NJ
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Zip | 08043-4670
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Country | US
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Telephone | 856-751-0220
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Fax | 856-751-0222
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID GUBMAN
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Credential | OD
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Telephone | 856-751-0220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OA0005166
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License Number State | NJ
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