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Individual

MR. RAJENDRA P PATEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
233 LYONS AVE, NEWARK, NE 07112
(973) 926-0191
Mailing address
233 LYONS AVE, NEWARK, NE 07112
(973) 926-0191

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RS00429100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3131149
NABP
NJ
01
3420205
DME
NJ
05
4407601
NJ
Enumeration date
10/18/2006
Last updated
02/05/2008
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