NPI 1083949622

Hackensack Eye Surgery Center

Organisation Specialist Hackensack, NJ

Practice location

Address: 391 Summit Ave, Hackensack, NJ 07601-1414
Phone: (201) 342-5191
Fax: (201) 487-0026
Mailing address: 391 Summit Avenue, Hackensack, NJ 07601

Authorised official

Name: Paul A. Liva
Title: Ophthalmology Doctor
Phone: (201) 342-5191

Registered specialties (2)

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 25MA03541600 (NJ)

Other Specialist providers in New Jersey →

Specialist

Other Service Providers Taxonomy 174400000X Licence 25MA008438700 (NJ)

Registry record

NPI: 1083949622
Entity type: Organization
NPI issued: 15 Oct 2009
Record last updated: 15 Oct 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.