Individual
IRENE BURAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
407 VALLEY ST, SOUTH ORANGE, NJ 07079-2807
(973) 762-5044
Mailing address
407 VALLEY ST, SOUTH ORANGE, NJ 07079-2807
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI01601700
NJ
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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