Provider Demographics
NPI:1366764417
Name:PARVEZ, RIFAT (PHD)
Entity type:Individual
Prefix:DR
First Name:RIFAT
Middle Name:
Last Name:PARVEZ
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 ROBIN DR
Mailing Address - Street 2:
Mailing Address - City:SKILLMAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08558-2012
Mailing Address - Country:US
Mailing Address - Phone:609-203-4135
Mailing Address - Fax:609-497-0746
Practice Address - Street 1:35 ROBIN DRIVE
Practice Address - Street 2:
Practice Address - City:SKILLMAN
Practice Address - State:NJ
Practice Address - Zip Code:08558
Practice Address - Country:US
Practice Address - Phone:609-203-4135
Practice Address - Fax:609-497-0746
Is Sole Proprietor?:No
Enumeration Date:2010-02-17
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0299531835N1003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835N1003XPharmacy Service ProvidersPharmacistNutrition Support