Provider Demographics
NPI:1891308441
Name:AHMED, REEM
Entity Type:Individual
Prefix:
First Name:REEM
Middle Name:
Last Name:AHMED
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 1:20 W HUDSON AVE
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-1788
Mailing Address - Country:US
Mailing Address - Phone:201-408-1374
Mailing Address - Fax:201-408-1381
Practice Address - Street 1:20 W HUDSON AVE
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-1788
Practice Address - Country:US
Practice Address - Phone:201-408-1374
Practice Address - Fax:201-408-1381
Is Sole Proprietor?:No
Enumeration Date:2020-08-24
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03859000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist