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Roger Young, Pc
Eyewear Supplier in Villas, New Jersey
NPI 1205881109

Roger Young, Pc is a Eyewear Supplier based in Villas, NJ. Roger Young, Pc practices in Villas, NJ. The NPI Number for Roger Young, Pc is 1205881109 and holds a License No. 270A00383700 (New Jersey).

The current practice location address for Roger Young, Pc is 2004 Bayshore Rd, Villas, NJ and can be reached out via phone at 609-886-1578 and via fax at 609-886-3520.

Location: 2004 Bayshore Rd, Villas, NJ, 08251-1815
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205881109
Provider Name
Roger Young, Pc
Credential
Provider Entity Type
Organization
Address
2004 Bayshore Rd, Villas, NJ, 08251-1815
Phone Number
609-886-1578
Fax Number
609-886-3520
Provider Enumeration Date
05/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1865609 05 NJ
institution
Provider Business Practice Location Address Details
Address
2004 Bayshore Rd
City
Villas
State
New Jersey
Zip
08251-1815
Phone Number
609-886-1578
Fax Number
609-886-3520
person
Provider Business Mailing Address Details
Address
2004 Bayshore Rd
City
Villas
State
New Jersey
Zip
08251-1815
Phone Number
609-886-1578
Fax Number
609-886-3520
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
270A00383700 (New Jersey)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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