Provider Demographics
NPI:1982207189
Name:GONCALVES, HELENA COUTINHO (RPH)
Entity Type:Individual
Prefix:MRS
First Name:HELENA
Middle Name:COUTINHO
Last Name:GONCALVES
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 MAGIE AVE
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07208-1419
Mailing Address - Country:US
Mailing Address - Phone:908-414-5324
Mailing Address - Fax:908-353-5299
Practice Address - Street 1:333 MORRIS AVE
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07208-3616
Practice Address - Country:US
Practice Address - Phone:908-353-5200
Practice Address - Fax:908-353-5299
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-19
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RIO2085700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist