Individual
ELIZABETH ANN MASTROKOSTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 EQUINOX LN, FREEHOLD, NJ 07728-8652
(732) 252-5615
Mailing address
11 EQUINOX LN, FREEHOLD, NJ 07728-8652
(732) 252-5615
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
038882-1
NY
183500000X
Pharmacist
Primary
28RI03080100
NJ
Other
Enumeration date
03/05/2011
Last updated
03/05/2011
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