Provider Demographics
NPI:1578802393
Name:PATEL, NITINKUMAR M (PHARM D)
Entity Type:Individual
Prefix:
First Name:NITINKUMAR
Middle Name:M
Last Name:PATEL
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 MORRIS AVE
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-7120
Mailing Address - Country:US
Mailing Address - Phone:908-687-3371
Mailing Address - Fax:908-810-9047
Practice Address - Street 1:1011 MORRIS AVE
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-7120
Practice Address - Country:US
Practice Address - Phone:908-687-3371
Practice Address - Fax:908-810-9047
Is Sole Proprietor?:No
Enumeration Date:2013-02-14
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03491500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist