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Individual

MR. GLEN A RASSAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
2175 HIGHWAY 35, SEA GIRT, NJ 08750-1009
(732) 974-2929
(732) 974-2644
Mailing address
21 CEDAR AVE, LONG BRANCH, NJ 07740-5111
(732) 222-2932

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI01830600
NJ

Other

Enumeration date
06/09/2011
Last updated
06/09/2011
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