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Michael Derenzo, LDO
NPI 1114678646 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1 Harmon Dr
Blackwood, NJ 08012 - Phone
- (856) 228-1000
- Organisation at this address
- Usv Optical Inc
Usv Optical Inc.
Usv Optical, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Optician
156FX1800X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-01-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey