Healthcare Provider Details

I. General information

NPI: 1932061728
Provider Name (Legal Business Name): MARIZ A ABDELMALIK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 SCHLEY PL
TEANECK NJ
07666-3408
US

IV. Provider business mailing address

240 SCHLEY PL
TEANECK NJ
07666-3408
US

V. Phone/Fax

Practice location:
  • Phone: 201-420-8300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI04457500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: