Mr. Michael Pasquale Derenzo, LDO
Mr. Michael Pasquale Derenzo, LDO is an Optician in Blackwood, New Jersey. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2022
Practice location Address checks out
1 Harmon DrBlackwood, NJ 08012-5103
Phone: (856) 228-1000
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Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence 006765 (NY) |
|---|
Record details
| NPI number | 1114678646 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LDO |
| Sole proprietor | Yes |
| NPI enumerated | January 17, 2022 |
| Last updated in NPPES | January 17, 2022 |
| Certification date | January 17, 2022 |
Other providers in Blackwood
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Mrs. Cynthia Dupre
1 Harmon Dr, Blackwood, NJ 08012-5103 · (856) 228-1000