Provider Demographics
NPI:1932851847
Name:ALHOUT, AATIF
Entity Type:Individual
Prefix:
First Name:AATIF
Middle Name:
Last Name:ALHOUT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:487 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:SADDLE BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:07663-5945
Mailing Address - Country:US
Mailing Address - Phone:201-291-0844
Mailing Address - Fax:201-291-0857
Practice Address - Street 1:487 MARKET ST
Practice Address - Street 2:
Practice Address - City:SADDLE BROOK
Practice Address - State:NJ
Practice Address - Zip Code:07663-5945
Practice Address - Country:US
Practice Address - Phone:201-291-0857
Practice Address - Fax:201-291-0857
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-21
Last Update Date:2022-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02299100183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist