Licciardi, Tracey A
Licciardi, Tracey A is an individual health care provider with primary practice located at 375 Route 36 , Port Monmouth NJ 07758-1359. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Licciardi, Tracey A can be contacted via phone (732) 787-1041.Contact Information
Primary practice address
375 Route 36
Port Monmouth NJ 07758-1359
Phone: (732) 787-1041
Fax: (732) 787-5632
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 28RI02766900 | New Jersey |
Profile Details
| NPI number | 1740464031 |
|---|---|
| LBN Legal business name | Licciardi, Tracey A |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 21st, 2007 |
| Last updated | Dec 21st, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Rasmussen, Phyllis D
4196 Us Highway 1 , Monmouth Junction NJ 08852-1904 -
Ghetia, Manisha R
4196 Us Highway 1 , Monmouth Junction NJ 08852-1904 -
Rosenbaum, Joan
Bldg 1075 Stephenson Ave , Fort Monmouth NJ 07703 -
Rolnick, Danyelle
52 Willow St , Port Monmouth NJ 07758-1417 -
Marietta, Ruth
375 Highway 36 , Port Monmouth NJ 07758-1359 -
Reyes-Grote, Elli
1075 Stephenson Ave , Fort Monmouth NJ 07703 -
Khatib, Mohamed A
158 Sand Hills Rd , Monmouth Junction NJ 08852-3103 -
Osefoh, Ogugua
375 State Route 36 , Port Monmouth NJ 07758-1359