Individual
DR. JASON GENEBLAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
505 ROUTE 530, WHITING, NJ 08759-3144
(732) 849-4801
Mailing address
22 JUPITER ST, COLONIA, NJ 07067-1105
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03269900
NJ
Other
Enumeration date
03/16/2009
Last updated
03/16/2009
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