Individual
BETHSY JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
61 E RIDGEWOOD AVE, PARAMUS, NJ 07652-3609
(201) 599-3366
Mailing address
184 LINDEN ST, MAHWAH, NJ 07430-2064
(914) 479-2121
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03675100
NJ
Other
Enumeration date
08/04/2018
Last updated
08/04/2018
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