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NPI Code Detail

MEDICARE: BHAVISHABEN PATEL

MEDICARE: BHAVISHABEN PATEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist28RI03731100NJ

General Provider Information

NPI Number : 1306441498
Entity Type Code : Individual
Provider Name (Legal Business Name) : BHAVISHABEN PATEL
Provider Business Mailing Address
First Line : 156 NEWARK POMPTON TPKE
Second Line :
City : PEQUANNOCK
State : NJ
Zip : 07440-1327
Country : US
Telephone Number : 973-692-1221
Fax Number :
Provider Business Practice Location Address
First Line : 156 NEWARK POMPTON TPKE
Second Line :
City : PEQUANNOCK
State : NJ
Zip : 07440-1327
Country : US
Telephone Number : 973-692-1221
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2020
Last Update Date : 12/04/2020

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Directions to “ BHAVISHABEN PATEL ” Practice Location

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