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Mr. Peter A. Goetz, OPTICIAN
Optician in Manasquan, New Jersey
NPI 1780708099

Peter A. Goetz is a Optician based in Manasquan, NJ and is specialized in Optician. Peter A. Goetz practices in Manasquan, NJ and has the professional credentials of OPTICIAN. The NPI Number for Peter A. Goetz is 1780708099 and holds a License No. 31TD00185200 (New Jersey).

The current practice location address for Peter A. Goetz is 134 Main St, Manasquan, NJ and can be reached out via phone at 732-223-2020.

Location: 134 Main St, Manasquan, NJ, 08736-3558
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780708099
Provider Name
Peter A. Goetz
Credential
OPTICIAN
Provider Entity Type
Individual
Gender
Male
Address
134 Main St, Manasquan, NJ, 08736-3558
Phone Number
732-223-2020
Fax Number
Provider Enumeration Date
03/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2222259035 01 NJ TAX ID
7425406 05 NJ
institution
Provider Business Practice Location Address Details
Address
134 Main St
City
Manasquan
State
New Jersey
Zip
08736-3558
Phone Number
732-223-2020
Fax Number
person
Provider Business Mailing Address Details
Address
134 Main St
City
Manasquan
State
New Jersey
Zip
08736-3558
Phone Number
732-223-2020
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
31TD00185200 (New Jersey)
Definition
Definition to come...
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