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Organization
PROGRESSIVE CARE MEDICAL GROUP OF NJ, LLC
Active
Organization
PROGRESSIVE CARE MEDICAL GROUP OF NJ, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEEPAK RAMESHCHANDRA PATEL MD (OWNER/AUTHORIZED OFFICIAL)
(845) 339-5100
Entity
Organization
Contact information
Practice address
29 ORIOLE WAY, MOORESTOWN, NJ 08057-1335
(800) 860-3274
(888) 910-1059
Mailing address
PO BOX 1040, SYOSSET, NY 11791-0010
(800) 860-3274
(888) 910-1059
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/28/2017
Last updated
09/25/2026
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