Provider Demographics
NPI:1427364454
Name:SERAFIN, JANET EVE
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:EVE
Last Name:SERAFIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2331 ROUTE 66
Mailing Address - Street 2:
Mailing Address - City:OCEAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-3961
Mailing Address - Country:US
Mailing Address - Phone:732-918-7812
Mailing Address - Fax:732-481-4851
Practice Address - Street 1:2331 ROUTE 66
Practice Address - Street 2:
Practice Address - City:OCEAN
Practice Address - State:NJ
Practice Address - Zip Code:07712-3961
Practice Address - Country:US
Practice Address - Phone:732-918-7812
Practice Address - Fax:732-481-4851
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-27
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03300500183500000X
NJ28RJ01021183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist