Individual
CICERO TANALGO COLOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
221 HICKORY AVE, BERGENFIELD, NJ 07621-1844
(201) 385-3103
Mailing address
221 HICKORY AVE, BERGENFIELD, NJ 07621-1844
(201) 385-3103
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
042786
NY
Other
Enumeration date
06/02/2012
Last updated
06/02/2012
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