Healthcare Provider Details

I. General information

NPI: 1972212355
Provider Name (Legal Business Name): ANDREW M GIAQUINTO PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2022
Last Update Date: 11/15/2022
Certification Date: 11/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 WESCOTT DR
FLEMINGTON NJ
08822-4600
US

IV. Provider business mailing address

203 ALEXANDRIA WAY
BASKING RIDGE NJ
07920-2772
US

V. Phone/Fax

Practice location:
  • Phone: 908-788-1710
  • Fax:
Mailing address:
  • Phone: 973-747-2564
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number28RI03968500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: