Jefferson Isibor

NPI #1659994465 in Summit, New Jersey

Provider Information

NPI Number: 1659994465
Entity Type: Individual
Name: Jefferson Isibor
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: May 27, 2020
Last Updated: May 27, 2020

Practice Location

Address: 99 BEAUVOIR AVE
City: Summit
State: New Jersey
ZIP Code: 07901-3533
Phone: (908) 522-5342

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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