Provider Demographics
NPI:1235498650
Name:AUMENTA, JOSEPH NICHOLAS (RPH)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:NICHOLAS
Last Name:AUMENTA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:254 BELLEVUE AVE
Mailing Address - Street 2:
Mailing Address - City:HAMMONTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08037-1752
Mailing Address - Country:US
Mailing Address - Phone:609-561-0825
Mailing Address - Fax:
Practice Address - Street 1:254 BELLEVUE AVE
Practice Address - Street 2:
Practice Address - City:HAMMONTON
Practice Address - State:NJ
Practice Address - Zip Code:08037-1752
Practice Address - Country:US
Practice Address - Phone:609-561-0825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-04
Last Update Date:2012-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01215000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist