Provider Demographics
NPI:1447255344
Name:TARALLO, JOSEPH P JR (RPH)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:P
Last Name:TARALLO
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:6 BRIARWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-3505
Mailing Address - Country:US
Mailing Address - Phone:732-290-9111
Mailing Address - Fax:732-441-3693
Practice Address - Street 1:343 HIGHWAY 34
Practice Address - Street 2:
Practice Address - City:MATAWAN
Practice Address - State:NJ
Practice Address - Zip Code:07747-9514
Practice Address - Country:US
Practice Address - Phone:732-290-9111
Practice Address - Fax:732-441-3693
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ14203183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist