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Individual

MR. KAUSTUBH G SHUKLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R PH

Contact information

Practice address
603 W 4TH ST, PLAINFIELD, NJ 07060-2006
(908) 756-2599
Mailing address
3 SANDRA DR, EDISON, NJ 08820-1900

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02189100
NJ

Other

Enumeration date
01/01/2007
Last updated
07/08/2007
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