Healthcare Provider Details

I. General information

NPI: 1437262235
Provider Name (Legal Business Name): BORO HALL HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 11/01/2023
Certification Date: 11/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

565 BOUND BROOK RD
MIDDLESEX NJ
08846-1535
US

IV. Provider business mailing address

565 BOUND BROOK RD
MIDDLESEX NJ
08846-1535
US

V. Phone/Fax

Practice location:
  • Phone: 732-968-0414
  • Fax: 732-424-1988
Mailing address:
  • Phone: 732-968-0414
  • Fax: 732-424-1988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MR. SUNIL PAMNANI
Title or Position: RPH./OWNER
Credential:
Phone: 732-968-0414