Ophthalmology of Montclair Limited Liability Company

NPI #1912047713 in Montclair, New Jersey

Provider Information

NPI Number: 1912047713
Entity Type: Organization
Organization Name: Ophthalmology of Montclair Limited Liability Company
Primary Specialty: Ophthalmology
Enumeration Date: Feb 8, 2007
Last Updated: Aug 27, 2007

Practice Location

Address: 33 N FULLERTON AVE
Address 2: 1ST FLOOR
City: Montclair
State: New Jersey
ZIP Code: 07042-3412
Phone: (973) 509-6039

Authorized Official

Name: DR. KATHRYN PHYLLIS CHILDS, MD
Title: OWNER
Phone: (973) 509-6039

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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