Natalia Raeva Od PC

NPI #1760641674 in Fair Lawn, New Jersey

Provider Information

NPI Number: 1760641674
Entity Type: Organization
Organization Name: Natalia Raeva Od PC
Primary Specialty: Optometrist
Enumeration Date: Jun 5, 2008
Last Updated: Jun 5, 2008

Practice Location

Address: 32-01 BROADWAY
City: Fair Lawn
State: New Jersey
ZIP Code: 07410-4616
Phone: (201) 414-6490

Authorized Official

Name: DR. NATALIA RAEVA, OD
Title: PRESIDENT
Phone: (201) 414-6490

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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