Provider Demographics
NPI:1558599860
Name:PATEL, SETU J (PHARMD)
Entity Type:Individual
Prefix:
First Name:SETU
Middle Name:J
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 1:1483 ROUTE 23
Mailing Address - Street 2:SUITE 12
Mailing Address - City:KINNELON
Mailing Address - State:NJ
Mailing Address - Zip Code:07405-1627
Mailing Address - Country:US
Mailing Address - Phone:973-838-4444
Mailing Address - Fax:
Practice Address - Street 1:1483 ROUTE 23
Practice Address - Street 2:SUITE 12
Practice Address - City:KINNELON
Practice Address - State:NJ
Practice Address - Zip Code:07405-1627
Practice Address - Country:US
Practice Address - Phone:973-838-4444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-24
Last Update Date:2009-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03208200183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist