Individual provider · NPI-1

Denise Slaughter

Technician/Technologist, Optician · Newark, NJ

NPI number1245556950
StatusActive
Last updated in NPPESApr 20, 2010

Details

NPI
1245556950
Entity type
Individual (NPI-1)
Name
Denise Slaughter
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 20, 2010
Last updated
Apr 20, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, Optician1360NJYes

Practice location

875 Broad St
Newark, NJ 07102-2622

Phone 973-622-4492 · Fax 973-622-5919

Mailing address

875 Broad St
Newark, NJ 07102-2622

Phone 973-622-4492 · Fax 973-622-5919

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