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NPI Code Detail

MEDICARE: MARINA MOUNIR

MEDICARE: MARINA MOUNIR
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
1183500000XPharmacist28RI04346800NJ

General Provider Information

NPI Number : 1134996002
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARINA MOUNIR
Provider Business Mailing Address
First Line : 61 LEXINGTON AVE
Second Line :
City : BAYONNE
State : NJ
Zip : 07002-4211
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 59 WASHINGTON ST
Second Line :
City : HOBOKEN
State : NJ
Zip : 07030-7383
Country : US
Telephone Number : 201-798-1889
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2023
Last Update Date : 12/11/2023

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Directions to “ MARINA MOUNIR ” Practice Location

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