MR. Parag Champklal Raithatha, OPTICIAN
NPI #1790709384 in Irvington, New Jersey
Provider Information
- NPI Number
- 1790709384
- Entity Type
- Individual
- Name
- MR. Parag Champklal Raithatha, OPTICIAN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician/Technologist - Optician
- Credential
- OPTICIAN
- Enumeration Date
- Jul 27, 2006
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 1091B SPRINGFIELD AVE
- City
- Irvington
- State
- New Jersey
- ZIP Code
- 07111-2408
- Phone
- (973) 416-6664
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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