Provider Demographics
NPI:1538337134
Name:ZEITLIN, ALAN RICHARD
Entity type:Individual
Prefix:MR
First Name:ALAN
Middle Name:RICHARD
Last Name:ZEITLIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3020 HIGHWAY 35
Mailing Address - Street 2:PATHMARK PHARMACY
Mailing Address - City:HAZLET
Mailing Address - State:NJ
Mailing Address - Zip Code:07730-1505
Mailing Address - Country:US
Mailing Address - Phone:732-739-2302
Mailing Address - Fax:732-264-0730
Practice Address - Street 1:3020 HIGHWAY 35
Practice Address - Street 2:PATHMARK PHARMACY
Practice Address - City:HAZLET
Practice Address - State:NJ
Practice Address - Zip Code:07730-1505
Practice Address - Country:US
Practice Address - Phone:732-739-2302
Practice Address - Fax:732-264-0730
Is Sole Proprietor?:No
Enumeration Date:2008-02-15
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJR13696183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist