Provider Demographics
NPI:1255616827
Name:PATEL, MINESH HASMUKH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MINESH
Middle Name:HASMUKH
Last Name:PATEL
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:834 NELSON PL
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-3224
Mailing Address - Country:US
Mailing Address - Phone:732-424-0818
Mailing Address - Fax:732-424-0818
Practice Address - Street 1:508 MARTIN LUTHER KING # JR
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07018-2207
Practice Address - Country:US
Practice Address - Phone:973-672-6317
Practice Address - Fax:973-672-6129
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-14
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03227800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist