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Individual

JONATHAN LAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
2151 LEMOINE AVE, FORT LEE, NJ 07024-6041
(201) 947-6772
Mailing address
80 HEATHERHILL LN, WOODCLIFF LAKE, NJ 07677-8157
(201) 788-7051

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04150700
NJ

Other

Enumeration date
01/18/2021
Last updated
01/18/2021
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