Individual
ELLEN FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
95 OLD SHORT HILLS RD, WEST ORANGE, NJ 07052-1008
(973) 322-4086
Mailing address
95 OLD SHORT HILLS RD, WEST ORANGE, NJ 07052-1008
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02412600
NJ
Other
Enumeration date
03/25/2007
Last updated
05/26/2014
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