MEDICARE: TANUP 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
1	183500000X	Pharmacist	28RI03451400	NJ

General Provider Information

NPI Number	:	1124593884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TANUP PATEL

Provider Business Mailing Address
First Line	:	187 NORTH AVE
Second Line	:
City	:	DUNELLEN
State	:	NJ
Zip	:	08812-1277
Country	:	US
Telephone Number	:	732-968-1481
Fax Number	:	732-968-0244

Provider Business Practice Location Address
First Line	:	187 NORTH AVE
Second Line	:
City	:	DUNELLEN
State	:	NJ
Zip	:	08812-1277
Country	:	US
Telephone Number	:	732-968-1481
Fax Number	:	732-968-0244

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/09/2018
Last Update Date	:	06/15/2021

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Directions to “ TANUP PATEL ” Practice Location

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