Healthcare Provider Details

I. General information

NPI: 1811593726
Provider Name (Legal Business Name): RUBINA ANWAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/07/2020
Last Update Date: 12/07/2020
Certification Date: 12/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 SUMMERHILL RD
SPOTSWOOD NJ
08884-1239
US

IV. Provider business mailing address

18 KESWICK CIR
MONROE TOWNSHIP NJ
08831-4905
US

V. Phone/Fax

Practice location:
  • Phone: 732-251-5214
  • Fax:
Mailing address:
  • Phone: 732-213-3017
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI02908600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: