Most Relevant Information
Provider Data
| NPI Number: | 1003436791 |
| Provider Name: | KAITLYN ELIZABETH KOLZOW OD |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 27OA00691600 |
Most Important Dates
| Enumeration Date: | 04/22/2020 |
| Last Updated: | 04/22/2020 |
Provider Practice Location
108 BROUGHTON AVE
BLOOMFIELD
NJ
070033999
Practice Location Phone/Fax
| Phone: | 9737431331 |
| Fax: |
Provider Mailing Location
84 WINTERMUTE RD
NEWTON
NJ
078605407
Provider Mailing Phone/Fax
| Phone: | 9739757125 |
| Fax: |