Individual
LINDA BOAMPONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9255 KENNEDY BLVD, NORTH BERGEN, NJ 07047-5322
(201) 854-9099
Mailing address
200 GREENE ST, JERSEY CITY, NJ 07311-1401
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28R03
NJ
Other
Enumeration date
03/01/2021
Last updated
08/04/2021
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