Individual
JIBIN MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
1210 ROUTE 130 N STE 1408, CINNAMINSON, NJ 08077-3046
(856) 829-7200
Mailing address
1210 ROUTE 130 N STE 1408, CINNAMINSON, NJ 08077-3046
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03881900
NJ
Other
Enumeration date
10/20/2017
Last updated
10/20/2017
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