MD Raqibul Alam

Individual provider Active NPI Pharmacist · Williamstown, NJ

NPI 1346853769 · NPPES record last updated Aug 25, 2020

Key facts

NPI
1346853769
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
28RI04098000 (NJ)
Practice address
13 N Black Horse Pike
Williamstown, NJ 08094-1402
Phone
(856) 740-2509
NPI assigned
Aug 25, 2020
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
28RI04098000NJMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI04098000 NJ Yes

Addresses

Primary practice location

13 N Black Horse Pike
Williamstown, NJ 08094-1402

Mailing address

13 N Black Horse Pike
Williamstown, NJ 08094-1402

Other providers in Williamstown, NJ

All providers in Williamstown, NJ · Pharmacist in New Jersey

Sources for this page

Verify at the official NPI Registry.