Provider Demographics
NPI:1720127699
Name:GANDHI, CHETAN V (RPH)
Entity Type:Individual
Prefix:MR
First Name:CHETAN
Middle Name:V
Last Name:GANDHI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 GOLF VIEW DR
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-8442
Mailing Address - Country:US
Mailing Address - Phone:973-428-4968
Mailing Address - Fax:973-482-6100
Practice Address - Street 1:1 GOLF VIEW DR
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-8442
Practice Address - Country:US
Practice Address - Phone:973-482-4968
Practice Address - Fax:973-482-6100
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI01857400183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist