Individual
MARIAM ATEFYOUSEF MIKHAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
460B CENTRAL AVE, EAST ORANGE, NJ 07018-2531
(973) 676-4500
Mailing address
5 FERNDALE RD, WAYNE, NJ 07470-7406
(862) 332-0239
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04304500
NJ
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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