Provider Demographics
NPI:1922480557
Name:PARMAR, BHAVANISINH
Entity Type:Individual
Prefix:MR
First Name:BHAVANISINH
Middle Name:
Last Name:PARMAR
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 1:21 ROSS RD
Mailing Address - Street 2:
Mailing Address - City:WALLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07057-1648
Mailing Address - Country:US
Mailing Address - Phone:973-778-7563
Mailing Address - Fax:
Practice Address - Street 1:21 ROSS RD
Practice Address - Street 2:
Practice Address - City:WALLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07057-1648
Practice Address - Country:US
Practice Address - Phone:973-778-7563
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-19
Last Update Date:2015-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02925600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist