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Organization
BARON 11 OF MOONACHIE INC
Active
Organization
BARON 11 OF MOONACHIE INC
Active
Other names
BARON II DRUG AND SURGICAL
Organization subpart
No
Provider details
NPI number
Authorized official
RUDOLF TRIVIGNO (PRES)
(201) 641-1110
Entity
Organization
Contact information
Practice address
91 MOONACHIE RD, MOONACHIE, NJ 07074-1016
(201) 641-1110
(201) 659-3113
Mailing address
91 MOONACHIE RD, MOONACHIE, NJ 07074-1016
(201) 641-1110
(201) 659-3113
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
Primary
28RS00464300
NJ
Other
Enumeration date
08/10/2006
Last updated
11/15/2011
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