Individual
DR. IVAN FESYUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD.
Contact information
Practice address
500 ATRIUM DR, SOMERSET, NJ 08873
(732) 648-8962
Mailing address
500 ATRIUM DR, SOMERSET, NJ 08873-4161
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03625300
NJ
183500000X
Pharmacist
PCT.0013149
CT
Other
Enumeration date
04/27/2018
Last updated
03/04/2019
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