Individual
BETH PEROSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 HIGHWAY 35, HOLMDEL, NJ 07733-1085
(732) 671-3362
(732) 671-5435
Mailing address
16 FOX MEADOW LN, HOLMDEL, NJ 07733-2707
(732) 796-0033
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
034065-1
NY
183500000X
Pharmacist
Primary
25432
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034065-1
RPH LICENSE #
NY
01
—
25432
RPH LICENSE #
NJ
Enumeration date
02/09/2008
Last updated
02/09/2008
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