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Individual

ELIZABETH MOHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD, PSYD

Contact information

Practice address
5756 HARTFORD ST & POINTVILLE ROAD, JOINT BASE MDL, NJ 08640
(609) 723-1100
Mailing address
126 HIMMELIEN RD, MEDFORD, NJ 08055-9300
(856) 630-4763

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03023600
NJ

Other

Enumeration date
11/13/2020
Last updated
11/13/2020
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