Provider Demographics
NPI:1700492535
Name:SEDIK, NOHA
Entity Type:Individual
Prefix:
First Name:NOHA
Middle Name:
Last Name:SEDIK
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 1:3 INDIAN SPRING RD
Mailing Address - Street 2:
Mailing Address - City:BUDD LAKE
Mailing Address - State:NJ
Mailing Address - Zip Code:07828-1903
Mailing Address - Country:US
Mailing Address - Phone:201-850-7756
Mailing Address - Fax:
Practice Address - Street 1:3 INDIAN SPRING RD
Practice Address - Street 2:
Practice Address - City:BUDD LAKE
Practice Address - State:NJ
Practice Address - Zip Code:07828-1903
Practice Address - Country:US
Practice Address - Phone:201-850-7756
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-17
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03547600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist