Individual
DIVISHA P DIXIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2625 COUNTY RD 516, OLD BRIDGE, NJ 08857-2300
(732) 838-0921
Mailing address
2625 COUNTY RD 516, OLD BRIDGE, NJ 08857-2300
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03735200
NJ
Other
Enumeration date
11/07/2015
Last updated
11/07/2015
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