Individual
MR. GERALD E WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RP
Contact information
Practice address
895 PAULISON AVE, CLIFTON, NJ 07011-3640
(973) 546-5560
Mailing address
96 HARTMANN AVE, GARFIELD, NJ 07026-2211
(973) 478-5833
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI01391600
NJ
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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