Individual
MR. DEAN J VANOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2007 HIGHWAY 35, WALL TOWNSHIP, NJ 07719-3543
(732) 974-9290
(732) 974-5590
Mailing address
308 ENTERPRISE DR, FORKED RIVER, NJ 08731-1815
(732) 974-9290
(732) 974-5590
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI01572500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RI01572500
STATE LICENSE NUMBER
NJ
Enumeration date
02/15/2008
Last updated
02/15/2008
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