Individual
AML IBRAHIM FAWZY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2108 S BROAD ST, TRENTON, NJ 08610-5502
(609) 888-1616
Mailing address
26 CHADWICK CT, ROBBINSVILLE, NJ 08691-3043
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
28RI03935900
NJ
Other
Enumeration date
04/19/2019
Last updated
04/19/2019
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