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Individual

MR. DAVID J. DECARLO JR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
1000 ROUTE 70, LAKEWOOD, NJ 08701-5961
(732) 367-5222
(732) 367-3393
Mailing address
116 FOXHOLLOW DR, LANOKA HARBOR, NJ 08734-1611
(732) 367-5222
(732) 367-3393

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI01651100
NJ

Other

Enumeration date
01/18/2006
Last updated
07/08/2007
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