Individual
ANSEL MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
137 US HIGHWAY 22, GREEN BROOK, NJ 08812-2128
(732) 424-9242
Mailing address
137 US HIGHWAY 22, GREEN BROOK, NJ 08812-2128
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03720700
NJ
Other
Enumeration date
11/23/2020
Last updated
12/01/2020
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