Doctor Name: | MR. DOMINICK B PIANTONI |
NPI Number: | 1003976663 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | OPTICIAN |
License Number: | D1095 |
Business Practice Address: | 2660 Nottingham Way Mercerville, NJ - 086194110 |
Business Phone Number: | 6098902110 |
Business Fax Number: | 6098900987 |
Mailing Address: | 2660 Nottingham Way, MERCERVILLE |
State: | NJ |
Postal Code: | 086194110 |
Phone Number: | 6098902110 |
Fax Number: | 6098900987 |
NPI Enumeration Date: | 12/12/2006 |
NPI Last Update Date: | 03/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | D1095 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |