Provider Demographics
NPI:1114274198
Name:AHMED, SYEDA SAIMA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SYEDA
Middle Name:SAIMA
Last Name:AHMED
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 1:734 NEW BRUNSWICK AVE
Mailing Address - Street 2:
Mailing Address - City:PERTH AMBOY
Mailing Address - State:NJ
Mailing Address - Zip Code:08861-3659
Mailing Address - Country:US
Mailing Address - Phone:908-578-5118
Mailing Address - Fax:
Practice Address - Street 1:15 SUMMERHILL RD
Practice Address - Street 2:
Practice Address - City:SPOTSWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08884-1251
Practice Address - Country:US
Practice Address - Phone:732-251-8202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-09
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03027100183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
28RI03027100OtherPHARMACIST LISCENSE
NJ28RJ01673OtherIMMUNIZATION LICENSE