Healthcare Provider Details

I. General information

NPI: 1467935528
Provider Name (Legal Business Name): ASHISH VORA PHARM.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2018
Last Update Date: 09/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

741 NORTHFIELD AVE STE 199
WEST ORANGE NJ
07052-1104
US

IV. Provider business mailing address

186 MAIN ST APT D
LITTLE FALLS NJ
07424-1426
US

V. Phone/Fax

Practice location:
  • Phone: 973-324-1000
  • Fax: 973-324-2121
Mailing address:
  • Phone: 856-264-8828
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI03448800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: