Provider Demographics
NPI:1659358653
Name:PATEL, HARITA RAMESH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:HARITA
Middle Name:RAMESH
Last Name:PATEL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2001 FALLS BLVD
Mailing Address - Street 2:446
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-8207
Mailing Address - Country:US
Mailing Address - Phone:617-638-6715
Mailing Address - Fax:617-414-5391
Practice Address - Street 1:88 E NEWTON ST
Practice Address - Street 2:H2606
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2658
Practice Address - Country:US
Practice Address - Phone:617-638-6715
Practice Address - Fax:617-414-5391
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA026555183500000X
NC16443183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist