Individual
AYAT BELAL ELSISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
45 CENTRAL AVE, CLARK, NJ 07066-1421
(732) 882-1057
(732) 943-3784
Mailing address
416 US HIGHWAY 1, EDISON, NJ 08817-4418
(732) 985-7431
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03869400
NJ
183700000X
Pharmacy Technician
28RW02093400
NJ
Other
Enumeration date
02/15/2015
Last updated
03/17/2018
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