Provider Demographics
NPI:1104553130
Name:ATTIA, RAMY (RPH)
Entity type:Individual
Prefix:
First Name:RAMY
Middle Name:
Last Name:ATTIA
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 1:213 W SAINT GEORGES AVE
Mailing Address - Street 2:
Mailing Address - City:LINDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07036-3948
Mailing Address - Country:US
Mailing Address - Phone:908-925-7700
Mailing Address - Fax:908-925-7702
Practice Address - Street 1:213 W SAINT GEORGES AVE
Practice Address - Street 2:
Practice Address - City:LINDEN
Practice Address - State:NJ
Practice Address - Zip Code:07036-3948
Practice Address - Country:US
Practice Address - Phone:908-925-7700
Practice Address - Fax:908-925-7702
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-01
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04248900183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist