# OBANTA HEALTH SYSTEMS LLC

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

## Provider details

- **NPI number:** 1609465731
- **Authorized official:** DIPAN J PATEL (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (908) 526-8370

## Contact information

- **Practice address:** 940 CEDAR BRIDGE AVE, BRICK, NJ 08723-4170
- **Practice address phone:** (908) 809-9941
- **Mailing address:** 1065 US HIGHWAY 22 STE 3, BRIDGEWATER, NJ 08807-2949

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/13/2021
- **Last updated:** 01/13/2021