Provider Demographics
NPI:1558956995
Name:MOSAED, RANIA HAMDY (RPH)
Entity Type:Individual
Prefix:
First Name:RANIA
Middle Name:HAMDY
Last Name:MOSAED
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:490 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-3696
Mailing Address - Country:US
Mailing Address - Phone:201-471-2537
Mailing Address - Fax:201-471-2538
Practice Address - Street 1:490 BROADWAY
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-3696
Practice Address - Country:US
Practice Address - Phone:201-471-2537
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-08
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04080900183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist