Provider Demographics
NPI:1518622778
Name:ROSADO, JOSE ADAURY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:ADAURY
Last Name:ROSADO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4410 FORREST AVE
Mailing Address - Street 2:
Mailing Address - City:PENNSAUKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08110-4105
Mailing Address - Country:US
Mailing Address - Phone:856-761-2166
Mailing Address - Fax:
Practice Address - Street 1:1426 MOUNT EPHRAIM AVE
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08104-1549
Practice Address - Country:US
Practice Address - Phone:856-541-7648
Practice Address - Fax:856-541-0195
Is Sole Proprietor?:No
Enumeration Date:2021-11-03
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04193200183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist