Provider Demographics
NPI:1174158588
Name:ZADLO, MONIKA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MONIKA
Middle Name:
Last Name:ZADLO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:152 PALSA AVE
Mailing Address - Street 2:
Mailing Address - City:ELMWOOD PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07407-1215
Mailing Address - Country:US
Mailing Address - Phone:201-873-4071
Mailing Address - Fax:
Practice Address - Street 1:1055 HUDSON ST
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-6809
Practice Address - Country:US
Practice Address - Phone:908-810-1782
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-05
Last Update Date:2023-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04085700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist