Individual
MARK MALAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
668 NEW JERSEY AVE # 70, BRICK, NJ 08724
(732) 477-7906
Mailing address
400 EARL DR, BRICK, NJ 08723-6470
(732) 266-1527
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02852600
NJ
Other
Enumeration date
11/08/2020
Last updated
11/08/2020
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