Ralph S Bullock and Son
NPI #1558425447 in Glassboro, New Jersey
Provider Information
- NPI Number
- 1558425447
- Entity Type
- Organization
- Organization Name
- Ralph S Bullock and Son
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Dec 22, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 725 N MAIN ST
- City
- Glassboro
- State
- New Jersey
- ZIP Code
- 08028-1653
- Phone
- (856) 881-3666
Authorized Official
- Name
- MR. RALPH SAMUEL BULLOCK JR.
- Title
- OPTICIAN
- Phone
- (856) 881-3666
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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