Provider Demographics
NPI:1831405570
Name:KUMAR, RAJESH (RPH)
Entity type:Individual
Prefix:
First Name:RAJESH
Middle Name:
Last Name:KUMAR
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 1:1801 MERRYWOOD DR
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817-6507
Mailing Address - Country:US
Mailing Address - Phone:201-344-5898
Mailing Address - Fax:
Practice Address - Street 1:140 WATER ST
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-1100
Practice Address - Country:US
Practice Address - Phone:732-747-3727
Practice Address - Fax:732-758-6529
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-18
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02978700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist