Provider Demographics
NPI:1386814143
Name:ANSARI, NADIA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NADIA
Middle Name:
Last Name:ANSARI
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 1:2108 HOUSELL CT
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08823-2614
Mailing Address - Country:US
Mailing Address - Phone:732-821-1171
Mailing Address - Fax:732-821-1171
Practice Address - Street 1:10 PLAINFIELD AVE
Practice Address - Street 2:
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-4046
Practice Address - Country:US
Practice Address - Phone:732-885-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-07
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03022000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist