MEDICARE: HINA 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
1	183500000X	Pharmacist	RI24768	NJ

General Provider Information

NPI Number	:	1356656946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HINA PATEL

Provider Business Mailing Address
First Line	:	27 REID LN
Second Line	:
City	:	MILLSTONE TWP
State	:	NJ
Zip	:	08535-8140
Country	:	US
Telephone Number	:	732-577-1881
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 N NEW PROSPECT RD
Second Line	:
City	:	JACKSON
State	:	NJ
Zip	:	08527-1354
Country	:	US
Telephone Number	:	732-905-4420
Fax Number	:	732-905-9227

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2010
Last Update Date	:	08/08/2010

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Directions to “ HINA PATEL ” Practice Location

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