NPI 1902110455

Andrea B. Antonelli, OD

Practitioner Optometrist Montclair, NJ

Practice location

Address: 547 Valley Rd, Montclair, NJ 07043-1880
Phone: (973) 783-6446
Fax: (973) 783-6448

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence TUV007489-1 (NY)

Other Optometrist providers in New Jersey →

Registry record

NPI: 1902110455
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jul 2010
Record last updated: 5 Dec 2024

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.