Provider Demographics
NPI:1942558002
Name:NOVER, STUART HARRIS
Entity Type:Individual
Prefix:
First Name:STUART
Middle Name:HARRIS
Last Name:NOVER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 PROMENADE BLVD
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-3457
Mailing Address - Country:US
Mailing Address - Phone:732-584-1002
Mailing Address - Fax:732-584-1010
Practice Address - Street 1:325 PROMENADE BLVD
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-3457
Practice Address - Country:US
Practice Address - Phone:732-584-1002
Practice Address - Fax:732-584-1010
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-21
Last Update Date:2012-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01311400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist