MR. Michael Pasquale Derenzo, LDO
NPI #1114678646 in Blackwood, New Jersey
Provider Information
- NPI Number
- 1114678646
- Entity Type
- Individual
- Name
- MR. Michael Pasquale Derenzo, LDO
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician/Technologist - Optician
- Credential
- LDO
- Enumeration Date
- Jan 17, 2022
- Last Updated
- Jan 17, 2022
Practice Location
- Address
- 1 HARMON DR
- City
- Blackwood
- State
- New Jersey
- ZIP Code
- 08012-5103
- Phone
- (856) 228-1000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
Similar Providers
Individual Providers
| Provider Name | |
|---|---|
| MRS. Cynthia Dupre | |
| Alan Mitchell Greenberg, OPTICAIN | |
| MR. Parag Champklal Raithatha, OPTICIAN |
Organizations
| Provider Name | |
|---|---|
| Progressive Optics Inc. | |
| Specs for Less INC |
Want to research this healthcare provider further?