Healthcare Provider Details

I. General information

NPI: 1124302294
Provider Name (Legal Business Name): ARIEL LEIGH MAIMAN PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2011
Last Update Date: 06/07/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2247 OCEAN HEIGHTS AVE
EGG HARBOR TOWNSHIP NJ
08234-5933
US

IV. Provider business mailing address

2247 OCEAN HEIGHTS AVE
EGG HARBOR TOWNSHIP NJ
08234-5933
US

V. Phone/Fax

Practice location:
  • Phone: 609-926-0283
  • Fax:
Mailing address:
  • Phone: 609-926-0383
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI03365100
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302040720
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: