Doctor Name: | JAMIE SHARON |
NPI Number: | 1033599584 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 31TD00383500 |
Business Practice Address: | 700 E Clements Bridge Rd Runnemede, NJ - 080781455 |
Business Phone Number: | 8569395515 |
Business Fax Number: | |
Mailing Address: | 700 E Clements Bridge Rd, RUNNEMEDE |
State: | NJ |
Postal Code: | 080781455 |
Phone Number: | 8569395515 |
Fax Number: | |
NPI Enumeration Date: | 05/30/2015 |
NPI Last Update Date: | 05/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | 31TD00383500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |