Provider Demographics
NPI:1003044249
Name:PATEL, ANUPABEN
Entity type:Individual
Prefix:
First Name:ANUPABEN
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:295 PRINCETON HIGHTSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:WEST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08550-3123
Mailing Address - Country:US
Mailing Address - Phone:609-275-0019
Mailing Address - Fax:609-275-5067
Practice Address - Street 1:295 PRINCETON HIGHTSTOWN RD
Practice Address - Street 2:
Practice Address - City:WEST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08550-3123
Practice Address - Country:US
Practice Address - Phone:609-275-0019
Practice Address - Fax:609-275-5062
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-25
Last Update Date:2009-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02966400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist