Provider Demographics
NPI:1174299416
Name:SINDAC-CHEN, AUDREY (PHARMD)
Entity Type:Individual
Prefix:
First Name:AUDREY
Middle Name:
Last Name:SINDAC-CHEN
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 1:46 TIMBERHILL DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08823-1782
Mailing Address - Country:US
Mailing Address - Phone:732-991-8322
Mailing Address - Fax:
Practice Address - Street 1:724 ROUTE 202
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-2551
Practice Address - Country:US
Practice Address - Phone:908-243-9645
Practice Address - Fax:908-243-9698
Is Sole Proprietor?:No
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD20142183500000X
NY060372183500000X
VA0202208782183500000X
NJ28RI03153900183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist