Provider Demographics
NPI:1063022390
Name:PATEL, KUNAL (PHARMD)
Entity Type:Individual
Prefix:
First Name:KUNAL
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:438 ROUTE 206 STE 3
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-5525
Mailing Address - Country:US
Mailing Address - Phone:908-829-3431
Mailing Address - Fax:908-829-4316
Practice Address - Street 1:438 ROUTE 206 STE 3
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-5525
Practice Address - Country:US
Practice Address - Phone:908-829-3431
Practice Address - Fax:908-829-4316
Is Sole Proprietor?:No
Enumeration Date:2020-08-02
Last Update Date:2020-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03598200183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist