Provider Demographics
NPI:1508137597
Name:NUZZIO, LINDA J (BS PHARMACIST)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:J
Last Name:NUZZIO
Suffix:
Gender:F
Credentials:BS PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 OLD YORK RD
Mailing Address - Street 2:
Mailing Address - City:RINGOES
Mailing Address - State:NJ
Mailing Address - Zip Code:08551-1310
Mailing Address - Country:US
Mailing Address - Phone:908-782-3944
Mailing Address - Fax:908-788-5617
Practice Address - Street 1:118 OLD YORK RD
Practice Address - Street 2:
Practice Address - City:RINGOES
Practice Address - State:NJ
Practice Address - Zip Code:08551-1310
Practice Address - Country:US
Practice Address - Phone:908-782-3944
Practice Address - Fax:908-788-5617
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-23
Last Update Date:2012-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28R101617300183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist