Provider Demographics
NPI:1992970255
Name:JATANIA, ABHIJEET JYOTINDRA (RPH)
Entity type:Individual
Prefix:MR
First Name:ABHIJEET
Middle Name:JYOTINDRA
Last Name:JATANIA
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 MIDLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07040-1744
Mailing Address - Country:US
Mailing Address - Phone:973-762-1508
Mailing Address - Fax:
Practice Address - Street 1:20 MIDLAND BLVD
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07040-1744
Practice Address - Country:US
Practice Address - Phone:973-762-1508
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-28
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02617300183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist