Individual
GHASSAN HUSSEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
79 HARRISON RD, WAYNE, NJ 07470-4514
(973) 885-0504
(847) 368-6863
Mailing address
79 HARRISON RD, WAYNE, NJ 07470-4514
(973) 885-0504
(847) 368-6863
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02976700
NJ
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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