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Individual

MR. KETANKUMAR THAKKAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
237 SPRING ST, NEWTON, NJ 07860-2103
(973) 383-0292
(973) 383-7189
Mailing address
29 LANA DR, PARSIPPANY, NJ 07054-3439
(973) 585-7198

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02909300
NJ

Other

Enumeration date
07/29/2010
Last updated
07/29/2010
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