Healthcare Provider Details

I. General information

NPI: 1831799154
Provider Name (Legal Business Name): FRANCES RUTH PADUANO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/27/2020
Last Update Date: 12/21/2025
Certification Date: 10/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 COOPERTOWNE BLVD
SOMERDALE NJ
08083-1433
US

IV. Provider business mailing address

1 BAY HILL RD
JACKSON NJ
08527-4073
US

V. Phone/Fax

Practice location:
  • Phone: 856-545-9074
  • Fax:
Mailing address:
  • Phone: 732-547-4549
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI01506700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: