Dr. Daniel Desrivieres Odpc

NPI #1295058915 in Orange, New Jersey

Provider Information

NPI Number
1295058915
Entity Type
Organization
Organization Name
Dr. Daniel Desrivieres Odpc
Primary Specialty
Eyewear Supplier
Enumeration Date
Mar 9, 2010
Last Updated
Feb 6, 2013

Practice Location

Address
32 N DAY ST
City
Orange
ZIP Code
07050-3609
Phone
(973) 676-8113

Authorized Official

Name
DR. DANIEL DESRIVIERES, OD
Title
OWNER
Phone
(201) 306-8258

Specialties & Taxonomy Codes

Specialty
Optometrist
Eyewear Supplier

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