Individual
DR. AMONIOUS SIDRAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
105B NORTH ST APT 509, BAYONNE, NJ 07002-1487
(201) 839-7556
Mailing address
105B NORTH ST APT 509, BAYONNE, NJ 07002-1487
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04283900
NJ
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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