# BERKELEY INTERNAL MEDICINE

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

## Provider details

- **NPI number:** 1720223076
- **Authorized official:** DR. SAMIR PATEL (PRESIDENT)
- **Authorized official phone:** (908) 626-1776

## Contact information

- **Practice address:** 266 KING GEORGE RD STE D, WARREN, NJ 07059-5187
- **Practice address phone:** (908) 626-1776
- **Practice address fax:** (908) 626-0776
- **Mailing address:** PO BOX 118, BERKELEY HEIGHTS, NJ 07922
- **Mailing address phone:** (908) 665-1177
- **Mailing address fax:** (908) 665-8420

## Taxonomy

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

## Other

- **Enumeration date:** 12/15/2008
- **Last updated:** 12/04/2024
