person
Khalid Osman Banga JR.
Optician in Elizabeth, New Jersey
NPI 1730823659

Khalid Osman Banga JR. is a Optician based in Elizabeth, NJ and is specialized in Optician. Khalid Osman Banga JR. practices in Elizabeth, NJ. The NPI Number for Khalid Osman Banga JR. is 1730823659 and holds a License No. 31TD00396000 (New Jersey).

The current practice location address for Khalid Osman Banga JR. is 570 N Broad St Ste A, Elizabeth, NJ and can be reached out via phone at 908-344-6291.

Location: 570 N Broad St Ste A, Elizabeth, NJ, 07208-4301
person
Provider Profile Details
NPI Number
1730823659
Provider Name
Khalid Osman Banga JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
570 N Broad St Ste A, Elizabeth, NJ, 07208-4301
Phone Number
908-344-6291
Fax Number
Provider Enumeration Date
04/26/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
570 N Broad St Ste A
City
State
Zip
07208-4301
Phone Number
908-344-6291
Fax Number
person
Provider Business Mailing Address Details
Address
570 N Broad St Ste A
City
State
Zip
07208-4301
Phone Number
908-344-6291
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
31TD00396000 (New Jersey)
Definition
Definition to come...
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