Individual
MR. JOSEPH GIANCOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1710 HIGHWAY 34, WALL TOWNSHIP, NJ 07727-3906
(732) 919-1234
Mailing address
1254 BLACK BIRCH CT, TOMS RIVER, NJ 08753-2877
(732) 814-0078
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02503100
NJ
Other
Enumeration date
05/18/2017
Last updated
05/18/2017
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