Healthcare Provider Details

I. General information

NPI: 1972848778
Provider Name (Legal Business Name): RATNESH KAUR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2012
Last Update Date: 12/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

773 HAMILTON ST
SOMERSET NJ
08873-3102
US

IV. Provider business mailing address

257B PLEASANTVIEW DR
PISCATAWAY NJ
08854-3402
US

V. Phone/Fax

Practice location:
  • Phone: 732-545-2299
  • Fax:
Mailing address:
  • Phone: 770-367-2885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI03540300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: