Provider Demographics
NPI:1326268061
Name:NEMHAUSER, MARK F (BS, RPH)
Entity Type:Individual
Prefix:MR
First Name:MARK
Middle Name:F
Last Name:NEMHAUSER
Suffix:
Gender:M
Credentials:BS, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 OVERBROOK RD
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-5526
Mailing Address - Country:US
Mailing Address - Phone:732-463-3945
Mailing Address - Fax:
Practice Address - Street 1:4 OVERBROOK RD
Practice Address - Street 2:
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-5526
Practice Address - Country:US
Practice Address - Phone:732-463-3945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01394900183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist