=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023443702
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | NOUR SINGER
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/12/2013
-----------------------------------------------------
Last Update Date | 09/12/2013
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 406 E MADISON AVE
-----------------------------------------------------
City | DUMONT
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07628-2629
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-384-8942
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2360 JONES RD
-----------------------------------------------------
City | FORT LEE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07024
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 28RI03587700
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------