Individual
IVAN QUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
105 WASHINGTON ST, HOBOKEN, NJ 07030
(201) 830-2410
Mailing address
18 BAY 13TH ST, BROOKLYN, NY 11214-3614
(917) 981-5444
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03449000
NJ
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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