person
Keith Sakelakos
Optician in Boonton, New Jersey
NPI 1316719628

Keith Sakelakos is a Optician based in Boonton, NJ and is specialized in Optician. Keith Sakelakos practices in Boonton, NJ. The NPI Number for Keith Sakelakos is 1316719628 and holds a License No. 31TD00416600 (New Jersey).

The current practice location address for Keith Sakelakos is 300 Wootton St, Boonton, NJ and can be reached out via phone at 973-299-1730 and via fax at 973-299-1733.

Location: 300 Wootton St, Boonton, NJ, 07005-1925
person
Provider Profile Details
NPI Number
1316719628
Provider Name
Keith Sakelakos
Credential
Provider Entity Type
Individual
Gender
Male
Address
300 Wootton St, Boonton, NJ, 07005-1925
Phone Number
973-299-1730
Fax Number
973-299-1733
Provider Enumeration Date
10/30/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
300 Wootton St
City
State
Zip
07005-1925
Phone Number
973-299-1730
Fax Number
973-299-1733
person
Provider Business Mailing Address Details
Address
300 Wootton St
City
State
Zip
07005-1925
Phone Number
973-299-1730
Fax Number
973-299-1733
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
31TD00416600 (New Jersey)
Definition
Definition to come...
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