Individual
BALQEES ANAAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
981 W SIDE AVE, JERSEY CITY, NJ 07306-6903
(201) 332-0410
Mailing address
987 W SIDE AVE FL 1, JERSEY CITY, NJ 07306-6903
(551) 998-6899
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
28RW03401500
NJ
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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