Provider Demographics
NPI:1427209741
Name:FACTOR, JENNIFER HIGGINS (RPH)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:HIGGINS
Last Name:FACTOR
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 W LINCOLN AVE
Mailing Address - Street 2:REUNION RX
Mailing Address - City:ATLANTIC HIGHLANDS
Mailing Address - State:NJ
Mailing Address - Zip Code:07716-1121
Mailing Address - Country:US
Mailing Address - Phone:732-291-2590
Mailing Address - Fax:732-495-8394
Practice Address - Street 1:21 W LINCOLN AVE
Practice Address - Street 2:REUNION RX
Practice Address - City:ATLANTIC HIGHLANDS
Practice Address - State:NJ
Practice Address - Zip Code:07716-1121
Practice Address - Country:US
Practice Address - Phone:732-291-2590
Practice Address - Fax:732-495-8394
Is Sole Proprietor?:No
Enumeration Date:2008-10-06
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI022101001835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric