Provider Demographics
NPI:1679887749
Name:ABDELMALAK, SHERIN (RPH)
Entity type:Individual
Prefix:
First Name:SHERIN
Middle Name:
Last Name:ABDELMALAK
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 SASHA CT
Mailing Address - Street 2:
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-6857
Mailing Address - Country:US
Mailing Address - Phone:732-264-3114
Mailing Address - Fax:732-335-3940
Practice Address - Street 1:1360 RTE 36
Practice Address - Street 2:
Practice Address - City:HAZLET
Practice Address - State:NJ
Practice Address - Zip Code:07730-1716
Practice Address - Country:US
Practice Address - Phone:732-264-3114
Practice Address - Fax:732-335-3940
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-02
Last Update Date:2010-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02923700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist