Provider Demographics
NPI:1922786870
Name:BATTIPAGLIA, GEORGINA MARIA (OD)
Entity Type:Individual
Prefix:DR
First Name:GEORGINA
Middle Name:MARIA
Last Name:BATTIPAGLIA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:89 N MAPLE AVE STE 5
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450-3235
Mailing Address - Country:US
Mailing Address - Phone:201-445-1991
Mailing Address - Fax:201-445-4827
Practice Address - Street 1:89 N MAPLE AVE
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450-3235
Practice Address - Country:US
Practice Address - Phone:201-445-1991
Practice Address - Fax:201-445-4827
Is Sole Proprietor?:No
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00721100152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist