Individual
MARYAM ADELIZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 CRESCENT BLVD, BROOKLAWN, NJ 08030-2797
(856) 742-0129
Mailing address
700 CRESCENT BLVD, BROOKLAWN, NJ 08030-2797
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02856400
NJ
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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