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Individual

MARC J CIRELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
500 ROUTE 23, POMPTON PLAINS, NJ 07444-1853
(973) 616-7727
(973) 616-1177
Mailing address
173 PASADENA PL, HAWTHORNE, NJ 07506-2838

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI01582000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28RI01582000
NJ BOARD OF PHARMACY
NJ
Enumeration date
02/10/2008
Last updated
02/10/2008
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