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Individual

GEDALIA ELI HIRSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1004 TWIN OAKS DRIVE, LAKEWOOD, NJ 08701-7150
(732) 861-7412
Mailing address
1004 TWIN OAKS DR, LAKEWOOD, NJ 08701-7150
(732) 961-7412

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
046768
NY
183500000X
Pharmacist
Primary
28RI02567000
NJ

Other

Enumeration date
02/17/2011
Last updated
02/17/2011
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