Individual
FADY BOTROUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861-3653
(732) 376-1600
(732) 376-1602
Mailing address
173 E CLAY AVE, ROSELLE PARK, NJ 07204-2033
(732) 376-1600
(732) 376-1602
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
28RW03442300
NJ
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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