Provider Demographics
NPI:1891193421
Name:PAUL, MARIAM GUINDY (PHARM D)
Entity Type:Individual
Prefix:
First Name:MARIAM
Middle Name:GUINDY
Last Name:PAUL
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-1706
Mailing Address - Country:US
Mailing Address - Phone:908-322-7499
Mailing Address - Fax:
Practice Address - Street 1:514 PARK AVE
Practice Address - Street 2:
Practice Address - City:SCOTCH PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07076-1706
Practice Address - Country:US
Practice Address - Phone:908-322-7499
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-13
Last Update Date:2014-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY20060067183500000X
NJ28RI03434000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist