Provider Demographics
NPI:1528381035
Name:CASSANO, RUTH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:RUTH
Middle Name:
Last Name:CASSANO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 SICOMAC AVE
Mailing Address - Street 2:
Mailing Address - City:WYCKOFF
Mailing Address - State:NJ
Mailing Address - Zip Code:07481-2132
Mailing Address - Country:US
Mailing Address - Phone:201-891-0822
Mailing Address - Fax:201-891-4790
Practice Address - Street 1:300 SICOMAC AVE
Practice Address - Street 2:
Practice Address - City:WYCKOFF
Practice Address - State:NJ
Practice Address - Zip Code:07481-2132
Practice Address - Country:US
Practice Address - Phone:201-891-0822
Practice Address - Fax:201-891-4790
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-11
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03011400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist