Individual
MISS JEBY MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 STILLMAN AVE, BERGENFIELD, NJ 07621-1231
(201) 218-2942
Mailing address
281 CONNECTICUT AVE, NORWALK, CT 06854-1904
(203) 299-5486
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT.0013084
CT
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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