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Individual

JESSICA WONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
530 ROUTE 515, VERNON, NJ 07462-3215
(973) 764-5380
Mailing address
7 SUNSET TER, WAYNE, NJ 07470-4216
(862) 596-8859

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03507200
NJ

Other

Enumeration date
01/18/2016
Last updated
01/18/2016
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