Individual
MS. MATILDA ISUFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 S BROAD ST, ELIZABETH, NJ 07202-3401
(908) 353-0400
Mailing address
2106 HOYT AVE S, ASTORIA, NY 11102-3430
(917) 597-2912
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03337400
NJ
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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