Provider Demographics
NPI:1003148826
Name:GAID, MAGED ROSHDAY (PHARM D)
Entity Type:Individual
Prefix:MR
First Name:MAGED
Middle Name:ROSHDAY
Last Name:GAID
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 SPRINGFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07103-2622
Mailing Address - Country:US
Mailing Address - Phone:973-824-1147
Mailing Address - Fax:
Practice Address - Street 1:325 SPRINGFIELD AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103-2622
Practice Address - Country:US
Practice Address - Phone:973-824-1147
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-03
Last Update Date:2010-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02880000183500000X
NY049989-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist