Individual
MRS. DANIELE BASRALIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
471 MAIN ST, CHATHAM, NJ 07928-2102
(973) 635-4636
Mailing address
471 MAIN ST, CHATHAM, NJ 07928-2102
(973) 635-4636
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
047144-1
NY
183500000X
Pharmacist
13422
NC
183500000X
Pharmacist
Primary
28RI03417600
NJ
Other
Enumeration date
03/10/2010
Last updated
03/15/2012
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