Provider Demographics
NPI:1649701095
Name:DATWANI, AMIT (PHARMD)
Entity type:Individual
Prefix:DR
First Name:AMIT
Middle Name:
Last Name:DATWANI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:164 PARSIPPANY RD
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-4708
Mailing Address - Country:US
Mailing Address - Phone:973-887-9444
Mailing Address - Fax:973-887-3119
Practice Address - Street 1:164 PARSIPPANY RD
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-4708
Practice Address - Country:US
Practice Address - Phone:973-887-9444
Practice Address - Fax:973-887-3119
Is Sole Proprietor?:No
Enumeration Date:2017-03-27
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02892800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist