Provider Demographics
NPI:1366818593
Name:QURAISHI, ALI (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALI
Middle Name:
Last Name:QURAISHI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 BALDWIN RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-2010
Mailing Address - Country:US
Mailing Address - Phone:973-939-2691
Mailing Address - Fax:
Practice Address - Street 1:200 BALDWIN RD
Practice Address - Street 2:SUITE 200
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-2010
Practice Address - Country:US
Practice Address - Phone:973-939-2691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-11
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03725400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist