Individual
JORGE IVAN RESTREPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
221 MAIN ST, LODI, NJ 07644-1733
(973) 773-0005
Mailing address
20 EMERSON AVE, PATERSON, NJ 07502-2027
(407) 709-5668
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04144500
NJ
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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