Provider Demographics
NPI:1750607198
Name:MAJMUDAR, BHUPENDRA BIHARILAL (RPH)
Entity type:Individual
Prefix:
First Name:BHUPENDRA
Middle Name:BIHARILAL
Last Name:MAJMUDAR
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 1:122 NELSON AVE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07307-3920
Mailing Address - Country:US
Mailing Address - Phone:201-798-5312
Mailing Address - Fax:
Practice Address - Street 1:122 NELSON AVE
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07307-3920
Practice Address - Country:US
Practice Address - Phone:201-798-5312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-09
Last Update Date:2010-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY039729183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist