Provider Demographics
NPI:1538406731
Name:PATEL, BHAVIN J (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BHAVIN
Middle Name:J
Last Name:PATEL
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 1:1008 WOODBRIDGE COMMONS WAY
Mailing Address - Street 2:
Mailing Address - City:ISELIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08830-3027
Mailing Address - Country:US
Mailing Address - Phone:609-513-5622
Mailing Address - Fax:
Practice Address - Street 1:264 WESTGATE DR
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-1167
Practice Address - Country:US
Practice Address - Phone:609-513-5622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-08
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28R103426200183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist