Individual
MR. MATTHEW KOSMADAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2151 LEMOINE AVE, FORT LEE, NJ 07024-6041
(201) 947-6772
Mailing address
2151 LEMOINE AVE, FORT LEE, NJ 07024-6041
(201) 947-6772
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02641600
NJ
Other
Enumeration date
09/29/2011
Last updated
09/29/2011
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