Tilonsky, Samuel Irving

Tilonsky, Samuel Irving is an sole proprietor health care provider with primary practice located at 10 Haddon Ave , Haddon Township NJ 08108-2706. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Tilonsky, Samuel Irving can be contacted via phone (856) 854-6565.

Contact Information

Primary practice address
10 Haddon Ave Haddon Township NJ 08108-2706
Phone: (856) 854-6565
Fax: (856) 854-3258
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 27OA00462600 New Jersey

Profile Details

NPI number 1063598381
LBN Legal business name Tilonsky, Samuel Irving
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2006
Last updated Feb 25th, 2014 - about 12 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 1063598381 NPPES
New Jersey Other 35317 AETNA
New Jersey Other NJ04626 AETNA
New Jersey Other 0082737000 AETNA
New Jersey Other 310782 AETNA
New Jersey MEDICAID 2282402 AETNA
New Jersey Other 87925 AETNA
New Jersey Other 1047635 AETNA
New Jersey Other 37913 AETNA
New Jersey Other 208567 AETNA

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