Individual
HANH PROVENZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2305 GLASSBORO CROSS KEYS RD, WILLIAMSTOWN, NJ 08094-8905
(856) 307-7580
(856) 307-7376
Mailing address
2305 GLASSBORO CROSS KEYS RD, WILLIAMSTOWN, NJ 08094-8905
(856) 307-7580
(856) 307-7376
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02499100
NJ
Other
Enumeration date
11/26/2020
Last updated
11/26/2020
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