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Individual

ILIA EFRAIMOVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
31 MULE RD, TOMS RIVER, NJ 08755-5029
(732) 914-1470
Mailing address
31 MULE RD, TOMS RIVER, NJ 08755-5029
(732) 914-1470

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03150000
NJ

Other

Enumeration date
06/23/2014
Last updated
06/23/2014
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