person
Paul Sudakov
Optician in New Brunswick, New Jersey
NPI 1659516904

Paul Sudakov is a Optician based in New Brunswick, NJ and is specialized in Optician. Paul Sudakov practices in New Brunswick, NJ. The NPI Number for Paul Sudakov is 1659516904 and holds a License No. 31TD00317100 (New Jersey).

The current practice location address for Paul Sudakov is 335 George Street, New Brunswick, NJ and can be reached out via phone at 732-246-6895. You can also correspond with Paul Sudakov through the mailing address at 335 GEORGE STREET, NEW BRUNSWICK, NJ - 08901 (mailing address contact number: ).

Location: 335 George Street, New Brunswick, NJ, 08901
person
Provider Profile Details
NPI Number
1659516904
Provider Name
Paul Sudakov
Credential
Provider Entity Type
Individual
Gender
Male
Address
335 George Street, New Brunswick, NJ, 08901
Phone Number
732-246-6895
Fax Number
Provider Enumeration Date
12/15/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0615441 05 NJ
institution
Provider Business Practice Location Address Details
Address
335 George Street
City
State
Zip
08901
Phone Number
732-246-6895
Fax Number
person
Provider Business Mailing Address Details
Address
335 George Street
City
State
Zip
08901
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
31TD00317100 (New Jersey)
Definition
Definition to come...
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