Individual
BASSEY EKONG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4577 N NOB HILL RD STE 102, SUNRISE, FL 33351-4714
(954) 756-6883
Mailing address
4577 N NOB HILL RD STE 102, SUNRISE, FL 33351-4714
(954) 756-6883
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03714400
NJ
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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