Provider Demographics
NPI:1891007423
Name:PATEL, MEGHABEN DHIRUBHAI (MSP'COLOGY/TOXICO)
Entity Type:Individual
Prefix:
First Name:MEGHABEN
Middle Name:DHIRUBHAI
Last Name:PATEL
Suffix:
Gender:F
Credentials:MSP'COLOGY/TOXICO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:970 PARKWAY AVE
Mailing Address - Street 2:
Mailing Address - City:EWING
Mailing Address - State:NJ
Mailing Address - Zip Code:08618-2317
Mailing Address - Country:US
Mailing Address - Phone:609-882-3456
Mailing Address - Fax:609-882-4461
Practice Address - Street 1:970 PARKWAY AVE
Practice Address - Street 2:
Practice Address - City:EWING
Practice Address - State:NJ
Practice Address - Zip Code:08618-2317
Practice Address - Country:US
Practice Address - Phone:609-882-3456
Practice Address - Fax:609-882-4461
Is Sole Proprietor?:No
Enumeration Date:2010-07-12
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03077800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist