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NPI Code Detail

MEDICARE: SHILPA R TIKEKAR

MEDICARE:   SHILPA R TIKEKAR
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
1183500000XPharmacist28RI03630900NJ

General Provider Information

NPI Number : 1013303684
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHILPA R TIKEKAR
Provider Business Mailing Address
First Line : 205 S ESSEX AVE
Second Line :
City : ORANGE
State : NJ
Zip : 07050-3401
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 205 S ESSEX AVE
Second Line :
City : ORANGE
State : NJ
Zip : 07050-3401
Country : US
Telephone Number : 973-677-2800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2015
Last Update Date : 04/10/2015

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Directions to “ SHILPA R TIKEKAR ” Practice Location

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