Pediatric Ophthalmology of Nj, P.c.

NPI #1164460218 in Wayne, New Jersey

Provider Information

NPI Number
1164460218
Entity Type
Organization
Organization Name
Pediatric Ophthalmology of Nj, P.c.
Primary Specialty
Ophthalmology
Enumeration Date
Jun 2, 2006
Last Updated
Apr 20, 2020

Practice Location

Address
57 WILLOWBROOK BLVD
Address 2
SUITE 411
City
Wayne
ZIP Code
07470-7047
Phone
(973) 256-4111

Authorized Official

Name
KEVIN J. MICKEY, M.D.
Title
PRESIDENT
Phone
(973) 256-4111

Specialties & Taxonomy Codes

Specialty
Ophthalmology - Pediatric Ophthalmology and Strabismus SpecialistPediatric Ophthalmology and Strabismus Specialist
Ophthalmology

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