Individual
MARYAM NAGIB GERGAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
490 BROADWAY, BAYONNE, NJ 07002
(347) 403-6198
Mailing address
6127 69TH PL, MIDDLE VILLAGE, NY 11379-1126
(347) 403-6198
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04001700
NJ
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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