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Individual

MR. KIRAN VENIGALLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
901 MAIN ST, ASBURY PARK, NJ 07712-5911
(732) 774-5100
Mailing address
901 MAIN ST, ASBURY PARK, NJ 07712-5911
(732) 774-5100

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03034400
NJ

Other

Enumeration date
09/19/2010
Last updated
09/19/2010
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