Healthcare Provider Details

I. General information

NPI: 1720591092
Provider Name (Legal Business Name): SHUMAILA SAEED
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2017
Last Update Date: 11/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

149 MAIN ST
MANASQUAN NJ
08736-3544
US

IV. Provider business mailing address

1984 WHITE KNOLL DR
TOMS RIVER NJ
08755-1737
US

V. Phone/Fax

Practice location:
  • Phone: 732-223-3900
  • Fax:
Mailing address:
  • Phone: 732-505-0738
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI03905400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: