Provider Demographics
NPI:1285948026
Name:QURESHI, SHUJA U (RPH)
Entity type:Individual
Prefix:
First Name:SHUJA
Middle Name:U
Last Name:QURESHI
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 1:46 JONES ST
Mailing Address - Street 2:APT 105
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306-3141
Mailing Address - Country:US
Mailing Address - Phone:201-725-7788
Mailing Address - Fax:
Practice Address - Street 1:46 JONES ST
Practice Address - Street 2:APT 105
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-3141
Practice Address - Country:US
Practice Address - Phone:201-725-7788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-04
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0396016183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist