Provider Demographics
NPI:1457634909
Name:PATEL, JIGNASABEN V (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:JIGNASABEN
Middle Name:V
Last Name:PATEL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:951 BOSTON PROVIDENCE TPKE
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02061
Mailing Address - Country:US
Mailing Address - Phone:781-762-1561
Mailing Address - Fax:781-762-8343
Practice Address - Street 1:951 BOSTON PROVIDENCE TPKE
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-4719
Practice Address - Country:US
Practice Address - Phone:781-762-1561
Practice Address - Fax:781-762-8343
Is Sole Proprietor?:No
Enumeration Date:2011-09-21
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPH233195183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist