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Individual

MRS. HAZEL SANGIL MONGELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
100 BROADWAY, ELMWOOD PARK, NJ 07407-3025
(201) 796-0204
Mailing address
100 BROADWAY, ELMWOOD PARK, NJ 07407-3025
(201) 796-0204

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03100100
NJ

Other

Enumeration date
09/13/2011
Last updated
03/19/2012
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