Healthcare Provider Details

I. General information

NPI: 1982685442
Provider Name (Legal Business Name): RUPAL P PATEL PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/10/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1345 ROUTE 1
NORTH BRUNSWICK NJ
08902-2001
US

IV. Provider business mailing address

1506 PLYMOUTH RD
NORTH BRUNSWICK NJ
08902-4596
US

V. Phone/Fax

Practice location:
  • Phone: 732-828-3103
  • Fax: 732-435-0128
Mailing address:
  • Phone: 856-625-8425
  • Fax: 732-435-0138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI03008000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: