MEDICARE: TUSHAR C 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	6984	CT

General Provider Information

NPI Number	:	1437431129
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TUSHAR C PATEL

Provider Business Mailing Address
First Line	:	3 PAPA LN
Second Line	:
City	:	NORTH HAVEN
State	:	CT
Zip	:	06473-3822
Country	:	US
Telephone Number	:	203-234-8124
Fax Number	:

Provider Business Practice Location Address
First Line	:	3 PAPA LN
Second Line	:
City	:	NORTH HAVEN
State	:	CT
Zip	:	06473-3822
Country	:	US
Telephone Number	:	203-234-8124
Fax Number	:

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

Provider Enumeration Date	:	09/19/2011
Last Update Date	:	09/19/2011

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Directions to “ TUSHAR C PATEL ” Practice Location

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