Provider Demographics
NPI:1790009975
Name:DOSHI, SHUCHIT (RPH)
Entity Type:Individual
Prefix:
First Name:SHUCHIT
Middle Name:
Last Name:DOSHI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 WINDING BROOK WAY
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-4434
Mailing Address - Country:US
Mailing Address - Phone:908-753-0532
Mailing Address - Fax:
Practice Address - Street 1:51 WINDING BROOK WAY
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-4434
Practice Address - Country:US
Practice Address - Phone:908-753-0532
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-17
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02568700183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ28RI02568700OtherNJ PHARMACY LISC