Provider Demographics
NPI:1609003136
Name:CARDOSO, JANETTE ALONSO (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JANETTE
Middle Name:ALONSO
Last Name:CARDOSO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 FAIRVIEW RD
Mailing Address - Street 2:
Mailing Address - City:CLARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07066-2904
Mailing Address - Country:US
Mailing Address - Phone:732-388-1721
Mailing Address - Fax:
Practice Address - Street 1:103 FAIRVIEW RD
Practice Address - Street 2:
Practice Address - City:CLARK
Practice Address - State:NJ
Practice Address - Zip Code:07066-2904
Practice Address - Country:US
Practice Address - Phone:732-388-1721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-11
Last Update Date:2009-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02702400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist