Provider Demographics
NPI:1356927339
Name:MEISEL, AMANDA H (PHARMACIST (PHARMD))
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:H
Last Name:MEISEL
Suffix:
Gender:F
Credentials:PHARMACIST (PHARMD)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:915 MADISON ST APT 2F
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-6443
Mailing Address - Country:US
Mailing Address - Phone:973-479-1925
Mailing Address - Fax:
Practice Address - Street 1:981 W SIDE AVE
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-6903
Practice Address - Country:US
Practice Address - Phone:201-332-0410
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-22
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04059600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist