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NPI Code Detail

MEDICARE: JIGISHA CHIMANLAL PATEL

MEDICARE:   JIGISHA CHIMANLAL PATEL
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
1183500000XPharmacist28RI03069000NJ

General Provider Information

NPI Number : 1104429083
Entity Type Code : Individual
Provider Name (Legal Business Name) : JIGISHA CHIMANLAL PATEL
Provider Business Mailing Address
First Line : 6 JACQUELINE CT
Second Line :
City : EDISON
State : NJ
Zip : 08820-3918
Country : US
Telephone Number : 848-391-1970
Fax Number :
Provider Business Practice Location Address
First Line : 178 MORRIS AVE
Second Line :
City : SPRINGFIELD
State : NJ
Zip : 07081-1217
Country : US
Telephone Number : 973-379-8771
Fax Number : 973-379-8776
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2020
Last Update Date : 11/20/2020

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Directions to “ JIGISHA CHIMANLAL PATEL ” Practice Location

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