Individual
KAJAL PRAVINCHANDRA TILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
246 NORWOOD AVE, OAKHURST, NJ 07755-1747
(732) 502-3154
Mailing address
6 STALLION CT, SOMERSET, NJ 08873-5341
(562) 221-9225
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03772100
NJ
Other
Enumeration date
12/05/2020
Last updated
12/05/2020
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