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NPI Code Detail

MEDICARE: CHETAN PATEL

MEDICARE: CHETAN 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
1183500000XPharmacist28RI03762900NJ

General Provider Information

NPI Number : 1184080749
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHETAN PATEL
Provider Business Mailing Address
First Line : 1561 JOHN F KENNEDY BLVD
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07305-1721
Country : US
Telephone Number : 201-982-3420
Fax Number :
Provider Business Practice Location Address
First Line : 1561 JOHN F KENNEDY BLVD
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07305-1721
Country : US
Telephone Number : 201-982-3420
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2016
Last Update Date : 01/12/2016

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Directions to “ CHETAN PATEL ” Practice Location

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