Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. PARAG CHAMPKLAL RAITHATHA, OPTICIAN
ActiveMR. PARAG CHAMPKLAL RAITHATHA, OPTICIAN is a Optician, Dispensing healthcare provider located in IRVINGTON, New Jersey. NPI 1790709384 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · IRVINGTON, NJ
Registration Details
- NPI Number
- 1790709384
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 27, 2006 (20.008145762465 yrs)
- Last Updated
- Jul 9, 2007
- License
-
TD3405 (NJ)
Practice Information
- Address
-
1091B SPRINGFIELD AVEIRVINGTON, NJ, 071112408Browse NJ providers · Browse ZIP 07111
- Phone
- 9734166664
- Fax
- 9734240072
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.