Provider Demographics
NPI:1033667910
Name:AHMED, AHMED
Entity Type:Individual
Prefix:
First Name:AHMED
Middle Name:
Last Name:AHMED
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:272 GEORGE ST
Mailing Address - Street 2:
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08901-1314
Mailing Address - Country:US
Mailing Address - Phone:732-543-1568
Mailing Address - Fax:732-543-1570
Practice Address - Street 1:272 GEORGE ST
Practice Address - Street 2:
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-1314
Practice Address - Country:US
Practice Address - Phone:732-543-1568
Practice Address - Fax:732-543-1570
Is Sole Proprietor?:No
Enumeration Date:2016-09-20
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03818300183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist