Individual
MAXINE LUCIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 PORTLAND AVE, BERGENFIELD, NJ 07621-2305
(201) 384-2789
Mailing address
10 PORTLAND AVE, BERGENFIELD, NJ 07621-2305
(201) 384-2789
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
28RW02246100
NJ
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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