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Individual

DR. JASON JOSEPH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
447 WILLIAM ST, EAST ORANGE, NJ 07017-2204
(862) 520-1063
Mailing address
134 CENTRE AVE FL 1, SECAUCUS, NJ 07094-3236
(551) 574-0683

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
28RI03171000
NJ
1835P2201X
Ambulatory Care Pharmacist
Primary
28RC00012400
NJ

Other

Enumeration date
06/19/2019
Last updated
06/19/2019
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