Individual
MATTHEW LICHTENSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7001 ROUTE 130, DELRAN, NJ 08075-1868
(856) 461-2152
Mailing address
112 DELAWARE XING, SWEDESBORO, NJ 08085-4222
(856) 294-9892
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03357900
NJ
183500000X
Pharmacist
RP444600
PA
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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