KHALID OSMAN BANGA Jr.
Individual Provider (NPI-1)
Active
Technician/Technologist, Optician
Provider Information
- NPI Number
1730823659- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 570 N BROAD ST STE A, ELIZABETH, NJ, 072084301
- Phone
- (908) 344-6291
Specialties & Taxonomies
Technician/Technologist, Optician
Primary License: NJ #31td00396000