Doctor Name: | GREGORY JOHN HUNTER |
NPI Number: | 1497969729 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | OPHTHALMIC DISPENSER |
License Number: | 31TD00100800 |
Business Practice Address: | 156 State Highway 10 W East Hanover, NJ - 07936 |
Business Phone Number: | 9735604140 |
Business Fax Number: | 9738843566 |
Mailing Address: | 8 Little Rd, BRANCHVILLE |
State: | NJ |
Postal Code: | 078264400 |
Phone Number: | 9737022340 |
Fax Number: | 9737022340 |
NPI Enumeration Date: | 05/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | 31TD00100800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |