Individual
HAEWON ELIZABETH PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
531 US HIGHWAY 22 E, WHITEHOUSE STATION, NJ 08889-3695
(908) 534-0019
(908) 534-1124
Mailing address
72 VANDERVEER DR, BASKING RIDGE, NJ 07920-3746
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02518300
NJ
Other
Enumeration date
05/24/2010
Last updated
05/24/2010
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