Individual
MADHURA BHALERAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
394 BERKSHIRE RD, RIDGEWOOD, NJ 07450-5504
(201) 925-8954
Mailing address
394 BERKSHIRE RD, RIDGEWOOD, NJ 07450-5504
(201) 925-8954
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
I062010-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I062010-1
NY LICENSE NUMBER
NY
Enumeration date
11/28/2016
Last updated
11/28/2016
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