Provider Demographics
NPI:1134550247
Name:BESHAI, MARLENE N (OD)
Entity type:Individual
Prefix:DR
First Name:MARLENE
Middle Name:N
Last Name:BESHAI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1501 US HIGHWAY 22
Mailing Address - Street 2:
Mailing Address - City:WATCHUNG
Mailing Address - State:NJ
Mailing Address - Zip Code:07069-6507
Mailing Address - Country:US
Mailing Address - Phone:908-756-1325
Mailing Address - Fax:908-756-1349
Practice Address - Street 1:1501 US HIGHWAY 22
Practice Address - Street 2:
Practice Address - City:WATCHUNG
Practice Address - State:NJ
Practice Address - Zip Code:07069-6507
Practice Address - Country:US
Practice Address - Phone:908-756-1325
Practice Address - Fax:908-756-1349
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-29
Last Update Date:2024-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00650100152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist