Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 4021 | NJ |
NPI | 1013009646 |
---|---|
Provider Name | Dr. Jeffrey Howard Auerbacher |
First Address | Franklin Lakes, NJ 07417 |
Second Address | Paramus, NJ 07652 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
580090BES | (02) |