Individual
MR. JOEL R GRODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
114 CONGRESS ST, NEWARK, NJ 07105-1723
(973) 344-9000
(973) 589-2468
Mailing address
114 CONGRESS ST, NEWARK, NJ 07105-1723
(973) 344-9000
(973) 589-2468
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI01316900
NJ
Other
Enumeration date
12/21/2011
Last updated
05/24/2012
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