Epifanio I Sunga Od Pa

NPI 1043365182 - Optometrist - 152W00000X

NPI Details
NPI 1043365182
Enumeration Date 01/25/2007
Last Updated 12/29/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name EPIFANIO I. EPIFANIO
Position OPTOMETRIST
Phone (201) 385-3055
Fax
Practice Location
125 WASHINGTON AVE
DUMONT NJ, 07628-3066, US
Phone (201) 385-3055
Fax
Business Location
125 WASHINGTON AVE
DUMONT NJ, 07628-3066, US
Phone (201) 385-3055
Fax
Toxanomy
Taxonomy Code 152W00000X
License State New Jersey
License Number 27OA00604000
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According to our database, Epifanio I Sunga Od Pa NPI is 1043365182, taxonomy code is 152W00000X and license number is 27OA00604000, license state is located at New Jersey. Epifanio I Sunga Od Pa physically located at 125 Washington Ave, Dumont NJ, 07628-3066. NPI Number 1033115704 has the healthcare provider type.

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1043365182 NPI number is provided on an as is basis without warranty of any kind. 1043365182 is maintained by the National Plan & Provider Enumeration System. The contents of Epifanio I Sunga Od Pa are for informational purposes only.