# ASHOK PATEL MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124037825
- **Authorized official:** ASHOK PATEL MD (PHYSICIAN)
- **Authorized official phone:** (856) 939-6400

## Contact information

- **Practice address:** 300 S BLACK HORSE PIKE, RUNNEMEDE, NJ 08078-1904
- **Practice address phone:** (856) 939-6400
- **Practice address fax:** (555) 555-5555
- **Mailing address:** 300 S BLACK HORSE PIKE, RUNNEMEDE, NJ 08078-1904
- **Mailing address phone:** (856) 939-6400
- **Mailing address fax:** (555) 555-5555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MA044698000 | NJ | Yes |

## Other

- **Enumeration date:** 08/05/2006
- **Last updated:** 07/22/2011