Provider Demographics
NPI:1730792516
Name:OBEROI, DIVYA (PHARMD)
Entity type:Individual
Prefix:
First Name:DIVYA
Middle Name:
Last Name:OBEROI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 EDLYS LN
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-3056
Mailing Address - Country:US
Mailing Address - Phone:516-509-3015
Mailing Address - Fax:
Practice Address - Street 1:3333 PARK AVE
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-5913
Practice Address - Country:US
Practice Address - Phone:201-558-0094
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-31
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03879200183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist