Individual
DR. JUSTIN BIVONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, RPH
Contact information
Practice address
3221 BAYSHORE RD, NORTH CAPE MAY, NJ 08204-3709
(609) 886-4214
Mailing address
315 W BAKER AVE, WILDWOOD, NJ 08260-1811
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03526100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RI03526100
NJ BOARD OF PHARMACY PHARMACIST LICENSE
NJ
Enumeration date
05/16/2014
Last updated
05/16/2014
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