Individual
KETAN K PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 INDIAN LN, TYNGSBORO, MD 01879-2806
(978) 649-7355
Mailing address
3 INDIAN LN, TYNGSBORO, MD 01879-2806
(978) 649-7355
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
22135
MA
183500000X
Pharmacist
Primary
2845
NH
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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