Provider Demographics
NPI:1336325018
Name:UPADHYAYAY, NIMIT (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NIMIT
Middle Name:
Last Name:UPADHYAYAY
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 1:59 14TH ST
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-1545
Mailing Address - Country:US
Mailing Address - Phone:732-565-7999
Mailing Address - Fax:
Practice Address - Street 1:59 14TH ST
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-1545
Practice Address - Country:US
Practice Address - Phone:732-565-7999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-13
Last Update Date:2008-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03076700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist