Provider Demographics
NPI:1760228431
Name:ABDULJAWAD, AHMED (RPH)
Entity type:Individual
Prefix:
First Name:AHMED
Middle Name:
Last Name:ABDULJAWAD
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 SCHALKS CROSSING RD STE 712
Mailing Address - Street 2:
Mailing Address - City:PLAINSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08536-1618
Mailing Address - Country:US
Mailing Address - Phone:609-750-0101
Mailing Address - Fax:
Practice Address - Street 1:9 SCHALKS CROSSING RD STE 712
Practice Address - Street 2:
Practice Address - City:PLAINSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08536-1618
Practice Address - Country:US
Practice Address - Phone:732-351-5255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-02
Last Update Date:2024-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04327000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist