Individual
MR. JAMES ANTHONY VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
19 MENDL TER, MONTCLAIR, NJ 07042-4107
(973) 809-3456
Mailing address
19 MENDL TERRACE, MONTCLAIR, NJ 07042
(973) 809-3456
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RLO2561200
NJ
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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