MEDICARE: JIGNESH 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	28RI03131100	NJ
2	183500000X	Pharmacist	RP440547	PA

General Provider Information

NPI Number	:	1417181843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JIGNESH PATEL

Provider Business Mailing Address
First Line	:	1639 HAINES RD
Second Line	:
City	:	LEVITTOWN
State	:	PA
Zip	:	19055-1803
Country	:	US
Telephone Number	:	215-547-0250
Fax Number	:	215-547-0202

Provider Business Practice Location Address
First Line	:	1627 HAINES RD
Second Line	:
City	:	LEVITTOWN
State	:	PA
Zip	:	19055-1803
Country	:	US
Telephone Number	:	215-547-0250
Fax Number	:	215-547-0202

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

Provider Enumeration Date	:	05/13/2009
Last Update Date	:	02/16/2017

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Directions to “ JIGNESH PATEL ” Practice Location

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