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Individual

MR. ALBERT JOHN STAITI JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
2 PARAGON DR, MONTVALE, NJ 07645-1718
(201) 571-8226
(201) 571-8335
Mailing address
39 WENDOVER RD, EAST WINDSOR, NJ 08520-2838
(732) 233-5356

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI01987500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28RI01987500
PHARMACIST LICENSE
NJ
01
5635732
PHARMACIST LICENSE
NY
Enumeration date
02/22/2008
Last updated
02/22/2008
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