Individual
DR. VIPUL A PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.,BCP,CGP
Contact information
Practice address
11 PRISCILLA LN, PORT JEFFERSON STATION, NY 11776-4219
(631) 609-0587
Mailing address
11 PRISCILLA LN, PORT JEFFERSON STATION, NY 11776-4219
(631) 609-0587
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
28RI03057200
NJ
1835P1200X
Pharmacotherapy Pharmacist
Primary
28RI03057200
NJ
Other
Enumeration date
10/02/2006
Last updated
06/24/2011
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