Individual
HOSSAM FARAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
594B BLOOMFIELD AVE, BLOOMFIELD, NJ 07003-2510
(484) 358-2118
Mailing address
594B BLOOMFIELD AVE, BLOOMFIELD, NJ 07003-2510
(484) 358-2118
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03786700
NJ
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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