Individual
DR. MATTHEW RICHARD MANZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1890 NJ-88, MARLBORO, NJ 08724
(732) 972-2309
Mailing address
1 HICKORY LN, FREEHOLD, NJ 07728-1588
(732) 735-9714
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03866800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28RI03866800
PHARMACIST LICENSE
NJ
01
—
28RJ07444
IMMUNIZATION APPROVAL
NJ
Enumeration date
02/22/2020
Last updated
08/14/2023
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