Provider Demographics
NPI:1396388682
Name:ZIOBRO, AIDAN SEAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AIDAN
Middle Name:SEAN
Last Name:ZIOBRO
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 1:50 PASSAIC AVE APT 303
Mailing Address - Street 2:
Mailing Address - City:KEARNY
Mailing Address - State:NJ
Mailing Address - Zip Code:07032-1155
Mailing Address - Country:US
Mailing Address - Phone:908-721-2419
Mailing Address - Fax:
Practice Address - Street 1:50 PASSAIC AVE APT 303
Practice Address - Street 2:
Practice Address - City:KEARNY
Practice Address - State:NJ
Practice Address - Zip Code:07032-1155
Practice Address - Country:US
Practice Address - Phone:908-721-2419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-20
Last Update Date:2021-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04040100183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist