MEDICARE: CONLEI PULMANO

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
1	183500000X	Pharmacist	28RI02880200	NJ

General Provider Information

NPI Number	:	1609472208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CONLEI PULMANO

Provider Business Mailing Address
First Line	:	3333 STATE ROUTE 27
Second Line	:
City	:	FRANKLIN PARK
State	:	NJ
Zip	:	08823-1312
Country	:	US
Telephone Number	:	732-422-4425
Fax Number	:	732-422-4427

Provider Business Practice Location Address
First Line	:	3333 STATE ROUTE 27
Second Line	:
City	:	FRANKLIN PARK
State	:	NJ
Zip	:	08823-1312
Country	:	US
Telephone Number	:	732-422-4425
Fax Number	:	732-422-4427

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2020
Last Update Date	:	12/09/2020

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Directions to “ CONLEI PULMANO ” Practice Location

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