Individual
DR. ISTSHHAD REDA SHATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM. D.
Contact information
Practice address
625 CARBRAY CT, SOUTH PLAINFIELD, NJ 07080-2543
(732) 895-9911
Mailing address
625 CARBRAY CT, SOUTH PLAINFIELD, NJ 07080-2543
(732) 895-9911
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04067400
NJ
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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