Theresa Radtke, Od LLC

NPI #1255851887 in Clifton, New Jersey

Provider Information

NPI Number: 1255851887
Entity Type: Organization
Organization Name: Theresa Radtke, Od LLC
Primary Specialty: Optometrist
Enumeration Date: Jun 24, 2017
Last Updated: Apr 23, 2021

Practice Location

Address: 1053 BLOOMFIELD AVE
City: Clifton
State: New Jersey
ZIP Code: 07012-2120
Phone: (973) 594-0020

Authorized Official

Name: DR. THERESA RADTKE, OD
Title: OWNER/OPTOMETRIST
Phone: (201) 913-7808

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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