Provider Demographics
NPI:1215447149
Name:AHMED, RIDHA
Entity type:Individual
Prefix:
First Name:RIDHA
Middle Name:
Last Name:AHMED
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 1:635 S CLINTON AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08611-1831
Mailing Address - Country:US
Mailing Address - Phone:609-695-2000
Mailing Address - Fax:609-695-2008
Practice Address - Street 1:635 S CLINTON AVE STE 400
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08611-1831
Practice Address - Country:US
Practice Address - Phone:609-695-2000
Practice Address - Fax:609-695-2008
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-05
Last Update Date:2017-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy