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NPI Code Detail

MEDICARE: MRS. NANCY ISMAIL

MEDICARE: MRS. NANCY ISMAIL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist28RI02614200NJ

General Provider Information

NPI Number : 1366637282
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NANCY ISMAIL
Provider Business Mailing Address
First Line : 624 MARC DRIVE
Second Line :
City : NORTH BRUNSWICK
State : NJ
Zip : 08902
Country : US
Telephone Number : 973-420-3047
Fax Number :
Provider Business Practice Location Address
First Line : 136 CENTRAL AVE
Second Line :
City : CLARK
State : NJ
Zip : 07066-1142
Country : US
Telephone Number : 732-574-9015
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2007
Last Update Date : 09/13/2007

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Directions to “ MRS. NANCY ISMAIL ” Practice Location

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