Provider Demographics
NPI:1831474071
Name:SYED, UWAIS M (PHD)
Entity Type:Individual
Prefix:DR
First Name:UWAIS
Middle Name:M
Last Name:SYED
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:657 BOGERT RD
Mailing Address - Street 2:
Mailing Address - City:RIVER EDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07661-2243
Mailing Address - Country:US
Mailing Address - Phone:862-571-3664
Mailing Address - Fax:
Practice Address - Street 1:657 BOGERT RD
Practice Address - Street 2:
Practice Address - City:RIVER EDGE
Practice Address - State:NJ
Practice Address - Zip Code:07661-2243
Practice Address - Country:US
Practice Address - Phone:862-571-3664
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-19
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02516900183500000X
NY052157183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist