Provider Demographics
NPI:1891075396
Name:CERMINARO, RONALD C (RPH)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:C
Last Name:CERMINARO
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 1:7 BUFFA DR
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-2703
Mailing Address - Country:US
Mailing Address - Phone:732-873-2113
Mailing Address - Fax:
Practice Address - Street 1:430 HARMONY RD
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:NJ
Practice Address - Zip Code:08527-4417
Practice Address - Country:US
Practice Address - Phone:732-928-6246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-28
Last Update Date:2011-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01529500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist