Individual
MR. MATTHEW J PARISI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
794 MOUNT PROSPECT AVE, NEWARK, NJ 07104-3221
(973) 483-4749
(973) 482-0643
Mailing address
9 LOWER OVERLOOK RD, GILLETTE, NJ 07933-1507
(908) 647-1396
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI01375800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RI001375800
STATE PHARMACIST LICENSE
NJ
Enumeration date
05/25/2007
Last updated
07/08/2007
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