Individual
MRS. DIANA GUSEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
592 N MAIN ST, BARNEGAT, NJ 08005
(609) 698-3600
Mailing address
11 ROSS CT, MANAHAWKIN, NJ 08050-7894
(609) 597-8251
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02956500
NJ
Other
Enumeration date
08/24/2010
Last updated
08/24/2010
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