Individual
BENJAMIN MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
29 DEFOREST AVE, SUMMIT, NJ 07901
(908) 273-0360
Mailing address
25 LONDON TERRACE, NEW CITY, NY 10956
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
059297
NY
183500000X
Pharmacist
Primary
28RI03628100
NJ
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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