Provider Demographics
NPI:1326302480
Name:GOSAI, JIGNESHGIRI ASHVINGIRI (RPH)
Entity Type:Individual
Prefix:
First Name:JIGNESHGIRI
Middle Name:ASHVINGIRI
Last Name:GOSAI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2005 MOUNT HOLLY RD STE 107
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08016-4705
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2005 MOUNT HOLLY RD STE 107
Practice Address - Street 2:
Practice Address - City:BURLINGTON TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08016-4705
Practice Address - Country:US
Practice Address - Phone:856-282-2005
Practice Address - Fax:856-203-6165
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-03
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD20500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist