Provider Demographics
NPI:1942788708
Name:ZALAVADIA, BHAVESH (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:BHAVESH
Middle Name:
Last Name:ZALAVADIA
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 BECKWITH PL
Mailing Address - Street 2:
Mailing Address - City:RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07070-1207
Mailing Address - Country:US
Mailing Address - Phone:973-563-6791
Mailing Address - Fax:
Practice Address - Street 1:1070 ROUTE 34 STE K
Practice Address - Street 2:
Practice Address - City:MATAWAN
Practice Address - State:NJ
Practice Address - Zip Code:07747-3468
Practice Address - Country:US
Practice Address - Phone:732-705-3722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-03
Last Update Date:2018-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY064114183500000X
NJ28RI03717600183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist