Provider Demographics
NPI:1578693685
Name:ARONOVITZ, ALAN SAMUEL (RPH)
Entity Type:Individual
Prefix:MR
First Name:ALAN
Middle Name:SAMUEL
Last Name:ARONOVITZ
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7033 VENTNOR GARDENS PLZ
Mailing Address - Street 2:
Mailing Address - City:VENTNOR CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08406-1627
Mailing Address - Country:US
Mailing Address - Phone:609-823-8309
Mailing Address - Fax:
Practice Address - Street 1:7035 VENTNOR GARDENS PLZ
Practice Address - Street 2:
Practice Address - City:VENTNOR CITY
Practice Address - State:NJ
Practice Address - Zip Code:08406-1627
Practice Address - Country:US
Practice Address - Phone:609-823-8309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2010-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01725900183500000X
FLPS22342183500000X
PARP032219L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist