MEDICARE: NEHA PATEL DR

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	28RI03434200	NJ

General Provider Information

NPI Number	:	1912589797
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEHA PATEL DR

Provider Business Mailing Address
First Line	:	1112 SAINT GEORGES AVE
Second Line	:
City	:	RAHWAY
State	:	NJ
Zip	:	07065-2665
Country	:	US
Telephone Number	:	732-381-4144
Fax Number	:	732-381-4166

Provider Business Practice Location Address
First Line	:	1112 SAINT GEORGES AVE
Second Line	:
City	:	RAHWAY
State	:	NJ
Zip	:	07065-2665
Country	:	US
Telephone Number	:	732-381-4144
Fax Number	:	732-381-4166

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

Provider Enumeration Date	:	04/22/2021
Last Update Date	:	04/22/2021

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Directions to “ NEHA PATEL DR” Practice Location

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