Provider Demographics
NPI:1063710697
Name:SHEYNFELD, OLGA
Entity type:Individual
Prefix:
First Name:OLGA
Middle Name:
Last Name:SHEYNFELD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 TENNENT RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-3162
Mailing Address - Country:US
Mailing Address - Phone:732-536-3784
Mailing Address - Fax:732-617-2105
Practice Address - Street 1:700 TENNENT RD
Practice Address - Street 2:SUITE 3
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-3162
Practice Address - Country:US
Practice Address - Phone:732-536-3784
Practice Address - Fax:732-617-2105
Is Sole Proprietor?:No
Enumeration Date:2011-03-07
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02773700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist