Healthcare Provider Details

I. General information

NPI: 1881580603
Provider Name (Legal Business Name): JANE OWUSU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2025
Last Update Date: 06/17/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3211 RTE 27 SOUTH
FRANKLIN PARK NJ
08823
US

IV. Provider business mailing address

4 WOODRUFF BLVD APT 303
HILLSBOROUGH NJ
08844-5192
US

V. Phone/Fax

Practice location:
  • Phone: 732-422-0213
  • Fax:
Mailing address:
  • Phone: 908-240-5479
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI04433000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: