Provider Demographics
NPI:1093319014
Name:ABOUEID, GEORGE (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:
Last Name:ABOUEID
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 1:635 LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07011-1232
Mailing Address - Country:US
Mailing Address - Phone:973-478-7508
Mailing Address - Fax:973-253-8561
Practice Address - Street 1:635 LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07011-1232
Practice Address - Country:US
Practice Address - Phone:973-478-7508
Practice Address - Fax:973-253-8561
Is Sole Proprietor?:No
Enumeration Date:2020-11-30
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03373100183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist