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Fred A Podbielak, OPTHALMICDISPENSER
Optician in Elizabeth, New Jersey
NPI 1437369667

Fred A Podbielak is a Optician based in Elizabeth, NJ and is specialized in Optician. Fred A Podbielak practices in Elizabeth, NJ and has the professional credentials of OPTHALMICDISPENSER. The NPI Number for Fred A Podbielak is 1437369667 and holds a License No. TD-2296 (New Jersey).

The current practice location address for Fred A Podbielak is 701 Newark Ave, Elizabeth, NJ and can be reached out via phone at 908-355-2774 and via fax at 908-355-1185.

Location: 701 Newark Ave, Elizabeth, NJ, 07208-3550
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Provider Profile Details
NPI Number
1437369667
Provider Name
Fred A Podbielak
Credential
OPTHALMICDISPENSER
Provider Entity Type
Individual
Gender
Male
Address
701 Newark Ave, Elizabeth, NJ, 07208-3550
Phone Number
908-355-2774
Fax Number
908-355-1185
Provider Enumeration Date
05/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6777104 05 NJ
institution
Provider Business Practice Location Address Details
Address
701 Newark Ave
City
State
Zip
07208-3550
Phone Number
908-355-2774
Fax Number
908-355-1185
person
Provider Business Mailing Address Details
Address
701 Newark Ave
City
State
Zip
07208-3550
Phone Number
908-355-2774
Fax Number
908-355-1185
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
TD-2296 (New Jersey)
Definition
Definition to come...
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