Individual
MRS. JESSENIA F MADRASWALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 STATE ROUTE 10, EAST HANOVER, NJ 07936-2122
(973) 887-2162
Mailing address
130 STATE ROUTE 10, EAST HANOVER, NJ 07936-2122
(973) 887-2162
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03042400
NJ
Other
Enumeration date
05/17/2010
Last updated
12/16/2010
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