Provider Demographics
NPI:1639452568
Name:ARORA-DAVIS, EKTA
Entity Type:Individual
Prefix:
First Name:EKTA
Middle Name:
Last Name:ARORA-DAVIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 RAMSGATE RD
Mailing Address - Street 2:
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-1721
Mailing Address - Country:US
Mailing Address - Phone:908-789-1991
Mailing Address - Fax:908-789-2702
Practice Address - Street 1:1 RAMSGATE RD
Practice Address - Street 2:
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016-1721
Practice Address - Country:US
Practice Address - Phone:908-789-1991
Practice Address - Fax:908-789-2702
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-27
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02712100183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist