person
Mr. Parag Champklal Raithatha, OPTICIAN
Optician in Irvington, New Jersey
NPI 1790709384

Parag Champklal Raithatha is a Optician based in Irvington, NJ and is specialized in Optician. Parag Champklal Raithatha practices in Irvington, NJ and has the professional credentials of OPTICIAN. The NPI Number for Parag Champklal Raithatha is 1790709384 and holds a License No. TD3405 (New Jersey).

The current practice location address for Parag Champklal Raithatha is 1091B Springfield Ave, Irvington, NJ and can be reached out via phone at 973-416-6664 and via fax at 973-424-0072.

Location: 1091B Springfield Ave, Irvington, NJ, 07111-2408
person
Provider Profile Details
NPI Number
1790709384
Provider Name
Parag Champklal Raithatha
Credential
OPTICIAN
Provider Entity Type
Individual
Gender
Male
Address
1091B Springfield Ave, Irvington, NJ, 07111-2408
Phone Number
973-416-6664
Fax Number
973-424-0072
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0105627 05 NJ
institution
Provider Business Practice Location Address Details
Address
1091B Springfield Ave
City
State
Zip
07111-2408
Phone Number
973-416-6664
Fax Number
973-424-0072
person
Provider Business Mailing Address Details
Address
1091B Springfield Ave
City
State
Zip
07111-2408
Phone Number
973-416-6664
Fax Number
973-424-0072
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
TD3405 (New Jersey)
Definition
Definition to come...
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