Individual
MR. JIWAJIRAO GULABRAO SURYAWANSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5 DOREEN CT, ROCKAWAY, NJ 07866-2202
(973) 784-3085
Mailing address
5 DOREEN CT, ROCKAWAY, NJ 07866-2202
(973) 784-3085
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
043558-1
NY
Other
Enumeration date
03/27/2010
Last updated
03/27/2010
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