Individual
DIEP N TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
465 MOUNT PROSPECT AVE, NEWARK, NJ 07104-2907
(973) 483-3640
Mailing address
2262 NEWARK AVE, SCOTCH PLAINS, NJ 07076-4673
Taxonomy
Speciality
Code
Description
License number
State
1835N1003X
Nutrition Support Pharmacist
Primary
28RI02168400
NJ
Other
Enumeration date
03/27/2015
Last updated
08/26/2021
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