Whalio Doctors

NPI 1902913577

Martin a Kitagawa, OD

Practitioner Optometrist Deptford, NJ

Practice location

Address
1750 Deptford Center Rd STE a, Deptford, NJ 08096-5283
Phone
(856) 848-3162
Fax
(856) 848-5657

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 27OA 00436200 (NJ)

Registry record

NPI
1902913577
Entity type
Individual
Sex (as registered)
Male
NPI issued
23 Aug 2006
Record last updated
7 Sep 2011

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.