New Vision Laser Center, LLC
Clinic/Center, Ambulatory Surgical in Elizabeth, NJ. Organization (NPI-2).
NPI number1730361981
StatusActive
Last updated in NPPESFeb 13, 2008
Details
- NPI
- 1730361981
- Entity type
- Organization (NPI-2)
- Legal business name
- New Vision Laser Center, LLC
- Organization subpart
- No
- Enumeration date
- Nov 29, 2007
- Last updated
- Feb 13, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | – | Yes |
Practice location
240 Williamson StSuite 504
Elizabeth, NJ 07202-3674
Phone 908-994-5618 · Fax 908-994-5621
Mailing address
240 Williamson StSuite 504
Elizabeth, NJ 07202-3674
Phone 908-994-5618 · Fax 908-994-5621
Authorized official
Justin Mang
Owner
9082890250
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