Provider Demographics
NPI:1942712740
Name:AHMED, NIDA A
Entity Type:Individual
Prefix:
First Name:NIDA
Middle Name:A
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 1:1 MEADOWLANDS PLZ STE 200
Mailing Address - Street 2:
Mailing Address - City:EAST RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07073-2152
Mailing Address - Country:US
Mailing Address - Phone:201-340-2632
Mailing Address - Fax:201-340-2633
Practice Address - Street 1:1 MEADOWLANDS PLZ STE 200
Practice Address - Street 2:
Practice Address - City:EAST RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07073-2152
Practice Address - Country:US
Practice Address - Phone:201-340-2632
Practice Address - Fax:201-340-2633
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-02
Last Update Date:2017-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy