Individual
MR. ANTHONY JAMES YACULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
703 GINESI DR, MORGANVILLE, NJ 07751-1235
(888) 809-4772
Mailing address
1212 BAY AVE, BAY HEAD, NJ 08742-4016
(732) 892-0330
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RI00024983
NJ
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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