Provider Demographics
NPI:1508581042
Name:ELHOSSINY, NERMIN H
Entity type:Individual
Prefix:
First Name:NERMIN
Middle Name:H
Last Name:ELHOSSINY
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 N LEGION ST APT 4
Mailing Address - Street 2:
Mailing Address - City:POMPTON LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07442-1747
Mailing Address - Country:US
Mailing Address - Phone:862-666-4428
Mailing Address - Fax:
Practice Address - Street 1:1 N LEGION ST APT 4
Practice Address - Street 2:
Practice Address - City:POMPTON LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07442-1747
Practice Address - Country:US
Practice Address - Phone:862-666-4428
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-06
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI040947001835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy