Individual
CARMEN ADRIANA FRAGOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
457 US HIGHWAY 46, DOVER, NJ 07801-3743
(973) 366-1006
Mailing address
457 US HIGHWAY 46, DOVER, NJ 07801-3743
(201) 906-5810
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02004700
NJ
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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