# INFECTIOUS DISEASE CLINIC

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

## Provider details

- **NPI number:** 1477834430
- **Authorized official:** DEVESH N PATEL MD (PHYSICIAN)
- **Authorized official phone:** (626) 348-4239

## Contact information

- **Practice address:** 901 ROUTE 168, SUITE 102, BLACKWOOD, NJ 08012-3210
- **Practice address phone:** (626) 348-4239
- **Mailing address:** PO BOX 1286, BLACKWOOD, NJ 08012-0986
- **Mailing address phone:** (626) 348-4239

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | 25MA08058500 | NJ | Yes |

## Other

- **Enumeration date:** 09/06/2011
- **Last updated:** 09/06/2011