Individual
DIANA GRINBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CGP, RPH.
Contact information
Practice address
155 MAIN ST, MATAWAN, NJ 07747-3125
(732) 111-1111
Mailing address
155 MAIN ST, MATAWAN, NJ 07747-3125
(732) 441-1223
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02780200
NJ
1835G0303X
Geriatric Pharmacist
28RI02780200
NJ
Other
Enumeration date
03/26/2007
Last updated
11/30/2011
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