Healthcare Provider Details

I. General information

NPI: 1033719976
Provider Name (Legal Business Name): ROSEANN BIHLEAR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/29/2020
Last Update Date: 10/29/2020
Certification Date: 10/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

631 ROUTE 9 S
LITTLE EGG HARBOR TWP NJ
08087-4031
US

IV. Provider business mailing address

7 NORTH DR
TABERNACLE NJ
08088-8647
US

V. Phone/Fax

Practice location:
  • Phone: 609-296-6430
  • Fax:
Mailing address:
  • Phone: 609-304-2092
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI01700000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: