MEDICARE: LEONARD STRULOWITZ OD

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
1	152W00000X	Optometrist	2595	NJ

General Provider Information

NPI Number	:	1356517080
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEONARD STRULOWITZ OD

Provider Business Mailing Address
First Line	:	551 MILLBURN AVE
Second Line	:
City	:	SHORT HILLS
State	:	NJ
Zip	:	07078-3330
Country	:	US
Telephone Number	:	973-379-2544
Fax Number	:	973-379-1317

Provider Business Practice Location Address
First Line	:	551 MILLBURN AVE
Second Line	:
City	:	SHORT HILLS
State	:	NJ
Zip	:	07078-3330
Country	:	US
Telephone Number	:	973-379-2544
Fax Number	:	973-379-1317

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2008
Last Update Date	:	05/02/2008

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