Provider Demographics
NPI:1437466414
Name:WOROB, JOEL JAY (RPH)
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:JAY
Last Name:WOROB
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 E MAIN ST
Mailing Address - Street 2:SUITE 16
Mailing Address - City:DENVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07834-2644
Mailing Address - Country:US
Mailing Address - Phone:973-627-3312
Mailing Address - Fax:973-586-4230
Practice Address - Street 1:123 E MAIN ST
Practice Address - Street 2:SUITE 16
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834-2644
Practice Address - Country:US
Practice Address - Phone:973-627-3312
Practice Address - Fax:973-586-4230
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-11
Last Update Date:2010-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01241700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist