MEDICARE: DILIP R PATEL PHARM.D

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	28RI03181300	NJ

General Provider Information

NPI Number	:	1790008001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DILIP R PATEL PHARM.D

Provider Business Mailing Address
First Line	:	96 CEDAR LN APT A
Second Line	:
City	:	HIGHLAND PARK
State	:	NJ
Zip	:	08904-2044
Country	:	US
Telephone Number	:	201-921-2042
Fax Number	:

Provider Business Practice Location Address
First Line	:	96 CEDAR LN APT A
Second Line	:
City	:	HIGHLAND PARK
State	:	NJ
Zip	:	08904-2044
Country	:	US
Telephone Number	:	201-921-2042
Fax Number	:

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

Provider Enumeration Date	:	03/02/2010
Last Update Date	:	03/02/2010

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Directions to “ DILIP R PATEL PHARM.D” Practice Location

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