Individual
MICHAEL TASSITANO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5 NAUTILUS AVE, BARNEGAT, NJ 08005-1420
(609) 384-9361
Mailing address
595 E BAY AVE, MANAHAWKIN, NJ 08050-3324
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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