Individual
GEORGE FATTAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1245 MAIN AVE, CLIFTON, NJ 07011-2241
(973) 521-2162
Mailing address
1245 MAIN AVE, CLIFTON, NJ 07011-2241
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04198100
NJ
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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