Healthcare Provider Details

I. General information

NPI: 1144138595
Provider Name (Legal Business Name): GUNJAN R PATEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

976 VALLEY RD
WATCHUNG NJ
07069-6145
US

IV. Provider business mailing address

976 VALLEY RD
WATCHUNG NJ
07069-6145
US

V. Phone/Fax

Practice location:
  • Phone: 201-772-4875
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI03277500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: