Provider Demographics
NPI:1356936850
Name:GOEL-LOHE, NUPUR
Entity type:Individual
Prefix:
First Name:NUPUR
Middle Name:
Last Name:GOEL-LOHE
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 1:2367 LINWOOD AVE # A
Mailing Address - Street 2:
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-3911
Mailing Address - Country:US
Mailing Address - Phone:201-585-7978
Mailing Address - Fax:
Practice Address - Street 1:2367 LINWOOD AVE # A
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-3911
Practice Address - Country:US
Practice Address - Phone:201-944-1214
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-05
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03201000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist