Individual
MRS. DIANE BARBOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 NEWARK AVE, ELIZABETH, NJ 07208-3514
(908) 820-9301
Mailing address
1109 FANNY ST, ELIZABETH, NJ 07201-1303
(908) 477-4385
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03098500
NJ
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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