Healthcare Provider Details

I. General information

NPI: 1023561628
Provider Name (Legal Business Name): HARSHI PATEL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2016
Last Update Date: 07/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 SOUTH ST
MORRISTOWN NJ
07960-5336
US

IV. Provider business mailing address

73 THERESA CT
GALLOWAY NJ
08205-3931
US

V. Phone/Fax

Practice location:
  • Phone: 973-540-9599
  • Fax:
Mailing address:
  • Phone: 609-350-5524
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI03794300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: