Provider Demographics
NPI:1619194016
Name:KALOLA, KALPNABEN
Entity Type:Individual
Prefix:
First Name:KALPNABEN
Middle Name:
Last Name:KALOLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 MULBERRY DR
Mailing Address - Street 2:
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-2909
Mailing Address - Country:US
Mailing Address - Phone:732-360-1110
Mailing Address - Fax:
Practice Address - Street 1:37 MULBERRY DR
Practice Address - Street 2:
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-2909
Practice Address - Country:US
Practice Address - Phone:732-360-1110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician