Individual
MR. ANIL J. MEHTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
625 E FORDHAM RD, BRONX, NY 10458-5049
(732) 546-7005
Mailing address
22 SETTER PL, KENDALL PARK, NJ 08824-1469
(732) 546-7005
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
055624
NY
Other
Enumeration date
07/12/2011
Last updated
07/12/2011
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