Provider Demographics
NPI:1124436381
Name:GHANI, NOREEN
Entity type:Individual
Prefix:
First Name:NOREEN
Middle Name:
Last Name:GHANI
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 1:1320 SHIPYARD LN # 3
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-5582
Mailing Address - Country:US
Mailing Address - Phone:201-876-0040
Mailing Address - Fax:
Practice Address - Street 1:1320 SHIPYARD LN # 3
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-5582
Practice Address - Country:US
Practice Address - Phone:201-876-0040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-31
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03538700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist