Individual
BARBARA DE SOUZA TAMBASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1097 BROADWAY, BAYONNE, NJ 07002-4126
(201) 436-6831
Mailing address
33 CHESEBROUGH ST, STATEN ISLAND, NY 10312-3707
(718) 702-2168
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03992000
NJ
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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