Provider Demographics
NPI:1063539344
Name:SAIFF, IVAN (RPH)
Entity type:Individual
Prefix:MR
First Name:IVAN
Middle Name:
Last Name:SAIFF
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 1:7401 LAHANA CIR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-7172
Mailing Address - Country:US
Mailing Address - Phone:561-742-2694
Mailing Address - Fax:561-364-3512
Practice Address - Street 1:325 RARITAN AVE
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:08904-2701
Practice Address - Country:US
Practice Address - Phone:732-545-0687
Practice Address - Fax:732-545-1156
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01058500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist