Provider Demographics
NPI:1649936030
Name:MOSAAD, FATIMAH (PHARMD RPH)
Entity type:Individual
Prefix:
First Name:FATIMAH
Middle Name:
Last Name:MOSAAD
Suffix:
Gender:F
Credentials:PHARMD RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 PIN OAK DR
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-5531
Mailing Address - Country:US
Mailing Address - Phone:732-533-7582
Mailing Address - Fax:
Practice Address - Street 1:101 CRAWFORDS CORNER RD STE 1116C
Practice Address - Street 2:
Practice Address - City:HOLMDEL
Practice Address - State:NJ
Practice Address - Zip Code:07733-1977
Practice Address - Country:US
Practice Address - Phone:732-285-4064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-10
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04207400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist