Provider Demographics
NPI:1679885370
Name:PATEL, BELA (RPH)
Entity type:Individual
Prefix:
First Name:BELA
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 AVON TER
Mailing Address - Street 2:
Mailing Address - City:ISELIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08830-1325
Mailing Address - Country:US
Mailing Address - Phone:732-516-9774
Mailing Address - Fax:732-377-8678
Practice Address - Street 1:51 AVON TER
Practice Address - Street 2:
Practice Address - City:ISELIN
Practice Address - State:NJ
Practice Address - Zip Code:08830-1325
Practice Address - Country:US
Practice Address - Phone:732-516-9774
Practice Address - Fax:732-377-8678
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-09
Last Update Date:2010-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02471500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist