Individual
MR. MARK AYIREBI NTIAMOAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
360 ESSEX ST, HACKENSACK, NJ 07601-8550
(201) 498-9670
(201) 498-9674
Mailing address
360 ESSEX ST, HACKENSACK, NJ 07601-8550
(201) 498-9670
(201) 498-9674
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03325900
NJ
Other
Enumeration date
02/10/2010
Last updated
02/10/2010
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