Provider Demographics
NPI:1164525523
Name:CORDASCO, ADELE ROSE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ADELE
Middle Name:ROSE
Last Name:CORDASCO
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 NEW BRUNSWICK AVE
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816
Mailing Address - Country:US
Mailing Address - Phone:732-698-2065
Mailing Address - Fax:
Practice Address - Street 1:11 BISHOP PLACE
Practice Address - Street 2:RUTGERS UNIVERSITY HEALTH SERVICES
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-1180
Practice Address - Country:US
Practice Address - Phone:732-932-7402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist