Provider Demographics
NPI:1386718070
Name:ESSIG, JULIE ELIZABETH
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:ELIZABETH
Last Name:ESSIG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:ELIZABETH
Other - Last Name:WARRINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:337 PATRIOT DR
Mailing Address - Street 2:
Mailing Address - City:LOGAN TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08085-4253
Mailing Address - Country:US
Mailing Address - Phone:856-467-6562
Mailing Address - Fax:
Practice Address - Street 1:337 PATRIOT DR
Practice Address - Street 2:
Practice Address - City:LOGAN TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08085-4253
Practice Address - Country:US
Practice Address - Phone:856-467-6562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02722000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist