Provider Demographics
NPI:1619306495
Name:PARISE, ANDREW JAMES (RPH)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:JAMES
Last Name:PARISE
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 1:29 DEERPATH RD
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-7017
Mailing Address - Country:US
Mailing Address - Phone:732-616-2786
Mailing Address - Fax:
Practice Address - Street 1:51 TERMINAL AVE
Practice Address - Street 2:SUITE B
Practice Address - City:CLARK
Practice Address - State:NJ
Practice Address - Zip Code:07066-1321
Practice Address - Country:US
Practice Address - Phone:732-692-2840
Practice Address - Fax:800-815-6808
Is Sole Proprietor?:No
Enumeration Date:2013-11-02
Last Update Date:2013-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02046000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist