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
ZIP Code
08012-5103
Phone
(856) 228-1000

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician

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