Provider Demographics
NPI:1720397581
Name:QURAISHI, M. SADID (BPHARM)
Entity Type:Individual
Prefix:MR
First Name:M.
Middle Name:SADID
Last Name:QURAISHI
Suffix:
Gender:M
Credentials:BPHARM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 PRINCETON HIGHLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-8589
Mailing Address - Country:US
Mailing Address - Phone:732-940-6451
Mailing Address - Fax:
Practice Address - Street 1:400 RENAISSACE BLVD
Practice Address - Street 2:
Practice Address - City:NEW BRUSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-5100
Practice Address - Country:US
Practice Address - Phone:732-940-6451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-28
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28R01955100183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist