Individual
MR. ADJE DABY KOFFI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
671 MARTIN LUTHER KING BLVD, NEWARK, NJ 07102
(862) 237-7601
(862) 237-7603
Mailing address
1 BRISTLECONE DRIVE, HOWELL, NJ 07731
(215) 459-8390
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03075400
NJ
Other
Enumeration date
12/18/2014
Last updated
06/04/2018
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