Healthcare Provider Details

I. General information

NPI: 1508706615
Provider Name (Legal Business Name): MAYA MUHIEDDINE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2026
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 MOUNTAIN BLVD STE G
WARREN NJ
07059-2638
US

IV. Provider business mailing address

8 MOUNTAIN BLVD STE G
WARREN NJ
07059-2638
US

V. Phone/Fax

Practice location:
  • Phone: 908-222-7777
  • Fax: 908-222-9242
Mailing address:
  • Phone: 908-222-7777
  • Fax: 908-222-9242

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number28RI04266300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: