Provider Demographics
NPI:1609197169
Name:NIHALANI, PARAG
Entity Type:Individual
Prefix:
First Name:PARAG
Middle Name:
Last Name:NIHALANI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 HADDON CT
Mailing Address - Street 2:
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534-5261
Mailing Address - Country:US
Mailing Address - Phone:609-712-4922
Mailing Address - Fax:
Practice Address - Street 1:74 HADDON CT
Practice Address - Street 2:
Practice Address - City:PENNINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08534-5261
Practice Address - Country:US
Practice Address - Phone:609-712-4922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-18
Last Update Date:2010-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02953700183500000X
PA228T2312183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist