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Individual
DR. MATTHEW RICHARD MANZI
Active
Individual
DR. MATTHEW RICHARD MANZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03866800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RI03866800
PHARMACIST LICENSE
NJ
01
—
28RJ07444
IMMUNIZATION APPROVAL
NJ
Enumeration date
02/22/2020
Last updated
08/14/2023
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