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NPI Code Detail

MEDICARE: MRS. ROSA MATHEW RPH

MEDICARE:  MRS. ROSA  MATHEW  RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist28RI02685300NJ

General Provider Information

NPI Number : 1538347703
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ROSA MATHEW RPH
Provider Business Mailing Address
First Line : 301 MARCELLA RD
Second Line :
City : PARSIPPANY
State : NJ
Zip : 07054-2523
Country : US
Telephone Number : 973-585-7431
Fax Number :
Provider Business Practice Location Address
First Line : 148 CENTER GROVE RD
Second Line :
City : RANDOLPH
State : NJ
Zip : 07869-1325
Country : US
Telephone Number : 973-442-7985
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2008
Last Update Date : 02/09/2008

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Directions to “ MRS. ROSA MATHEW RPH” Practice Location

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