Individual
MARIA E COSTEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
61 FERRY ST, NEWARK, NJ 07105-1805
(973) 465-0482
Mailing address
103 JOHN ST, CLARK, NJ 07066-1869
(908) 917-1812
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02467100
NJ
Other
Enumeration date
09/19/2011
Last updated
09/19/2011
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