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NPI Code Detail

MEDICARE: ESSEX EYE PHYSICIANS LLC

MEDICARE: ESSEX EYE PHYSICIANS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies
2332H00000XEyewear Supplier
3207W00000XOphthalmology Physician

General Provider Information

NPI Number : 1245392794
Entity Type Code : Organization
Provider Name (Legal Business Name) : ESSEX EYE PHYSICIANS LLC
Provider Business Mailing Address
First Line : 195 FAIRFIELD AVE
Second Line : SUITE 4B
City : WEST CALDWELL
State : NJ
Zip : 07006-6424
Country : US
Telephone Number : 973-228-4990
Fax Number : 973-228-4464
Provider Business Practice Location Address
First Line : 195 FAIRFIELD AVE
Second Line : SUITE 4B
City : WEST CALDWELL
State : NJ
Zip : 07006-6424
Country : US
Telephone Number : 973-228-4990
Fax Number : 973-228-4464
Authorized Official
Title or Position : MANAGING PARTNER
Name : ROBERT WERTHEIMER
Credential : MD
Telephone Number : 973-228-4990
Provider Enumeration Date : 12/14/2006
Last Update Date : 07/06/2010

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Directions to “ESSEX EYE PHYSICIANS LLC ” Practice Location

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