Rafael, Daniel

Rafael, Daniel is an individual health care provider with primary practice located at 574 Bergen Ave Apt 114A, Jersey City NJ 07304-2541. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Rafael, Daniel can be contacted via phone (201) 332-6539.

Contact Information

Primary practice address
574 Bergen Ave Apt 114A Jersey City NJ 07304-2541
Phone: (201) 332-6539
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OA 02428 New Jersey

Profile Details

NPI number 1184730244
LBN Legal business name Rafael, Daniel
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184730244 NPPES
New Jersey MEDICAID 2036207
New Jersey Other OE 058522

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