Provider Demographics
NPI:1811444391
Name:ENGEL, SCOTT A (RPH)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:A
Last Name:ENGEL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4503 BELMAR BLVD
Mailing Address - Street 2:
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-6901
Mailing Address - Country:US
Mailing Address - Phone:908-902-5855
Mailing Address - Fax:732-577-2840
Practice Address - Street 1:4861 HWY 9
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-3749
Practice Address - Country:US
Practice Address - Phone:732-901-8882
Practice Address - Fax:732-901-8885
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01969400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist