Provider Demographics
NPI:1477895100
Name:GEWARGY, FEBY A I (07/16/83)
Entity Type:Individual
Prefix:DR
First Name:FEBY
Middle Name:A
Last Name:GEWARGY
Suffix:I
Gender:F
Credentials:07/16/83
Other - Prefix:DR
Other - First Name:FEBY
Other - Middle Name:ANEES
Other - Last Name:GEWARGY
Other - Suffix:I
Other - Last Name Type:Professional Name
Other - Credentials:07/16/83
Mailing Address - Street 1:73 FERRY ST
Mailing Address - Street 2:NEWARK
Mailing Address - City:HUDSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-0700
Mailing Address - Country:US
Mailing Address - Phone:347-681-5054
Mailing Address - Fax:347-681-5054
Practice Address - Street 1:73 FERRY ST
Practice Address - Street 2:745 BERGEN AVE
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07105-1831
Practice Address - Country:US
Practice Address - Phone:347-681-5054
Practice Address - Fax:347-681-5853
Is Sole Proprietor?:No
Enumeration Date:2013-03-20
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03548300183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist