Individual
KANAN D MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
616 NEWMAN SPRINGS RD, LINCROFT, NJ 07738-1722
(732) 936-0558
Mailing address
8 STONEWOOD CT, WARREN, NJ 07059-2701
(908) 342-0714
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02398700
NJ
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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