Provider Demographics
NPI:1972257921
Name:DAMJI, AMINA
Entity Type:Individual
Prefix:
First Name:AMINA
Middle Name:
Last Name:DAMJI
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 1:8 READING RD STE 206
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-2081
Mailing Address - Country:US
Mailing Address - Phone:908-782-7576
Mailing Address - Fax:908-782-5818
Practice Address - Street 1:8 READING RD STE 206
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-2081
Practice Address - Country:US
Practice Address - Phone:908-782-7576
Practice Address - Fax:908-782-5818
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-08
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02130000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist