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NPI Code Detail

MEDICARE: TEXAS ROAD APPLEGARTH

MEDICARE: TEXAS ROAD APPLEGARTH
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
13336L0003XLong Term Care Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
128RS00687700OTHERNJNJ STATE LICENSE

General Provider Information

NPI Number : 1942820949
Entity Type Code : Organization
Provider Name (Legal Business Name) : TEXAS ROAD APPLEGARTH
Provider Business Mailing Address
First Line : 355 APPLEGARTH RD
Second Line :
City : MONROE
State : NJ
Zip : 08831-3733
Country : US
Telephone Number : 609-235-9368
Fax Number : 609-235-9399
Provider Business Practice Location Address
First Line : 355 APPLEGARTH RD
Second Line :
City : MONROE
State : NJ
Zip : 08831-3733
Country : US
Telephone Number : 609-235-9368
Fax Number : 609-235-9399
Authorized Official
Title or Position : OWNER
Name : JOSE CARDOSO
Credential :
Telephone Number : 609-235-9368
Provider Enumeration Date : 04/20/2020
Last Update Date : 04/20/2020

Similar Medicare Providers

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Practice Location Address:
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Directions to “TEXAS ROAD APPLEGARTH ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.