Provider Demographics
NPI:1497894059
Name:MORABITO, PAUL (RPH REGISTERED PHARM)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:
Last Name:MORABITO
Suffix:
Gender:M
Credentials:RPH REGISTERED PHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 BLACK BIRCH ROAD
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076
Mailing Address - Country:US
Mailing Address - Phone:908-709-1414
Mailing Address - Fax:908-709-1543
Practice Address - Street 1:21 NORTH 20TH STREET
Practice Address - Street 2:MORABITOS PHARMACY
Practice Address - City:KENILWORTH
Practice Address - State:NJ
Practice Address - Zip Code:07033
Practice Address - Country:US
Practice Address - Phone:908-709-1414
Practice Address - Fax:908-709-1543
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02496000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist