-- BASEL R ALTAHTAMONI --
Individual Provider (NPI-1)
Active
Technician/Technologist, Optician
Provider Information
- NPI Number
1205013885- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3513 JOHN F KENNEDY BLVD, JERSEY CITY, NJ, 073074123
- Phone
- (201) 420-8162
- Fax
- (201) 420-8163
Specialties & Taxonomies
Technician/Technologist, Optician
Primary License: NJ #31TD00326600