Provider Demographics
NPI:1396084679
Name:ABDELHAMID, ELSAYED M (RPH)
Entity type:Individual
Prefix:MR
First Name:ELSAYED
Middle Name:M
Last Name:ABDELHAMID
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 1:217 PHELPS AVE
Mailing Address - Street 2:
Mailing Address - City:BERGENFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07621-1452
Mailing Address - Country:US
Mailing Address - Phone:201-888-7685
Mailing Address - Fax:
Practice Address - Street 1:217 PHELPS AVE
Practice Address - Street 2:
Practice Address - City:BERGENFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07621-1452
Practice Address - Country:US
Practice Address - Phone:201-888-7685
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-07
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY055172-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist