Individual
MARIA FAVOCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 STURBRIDGE CIR, WAYNE, NJ 07470-8403
(201) 965-8191
Mailing address
3 STURBRIDGE CIR, WAYNE, NJ 07470-8403
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI01982500
NJ
Other
Enumeration date
02/18/2019
Last updated
02/18/2019
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