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Individual

DR. MANISH S PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
125 PATERSON ST, ROOM 2330, NEW BRUNSWICK, NJ 08901-1962
(732) 235-6539
(732) 235-7144
Mailing address
125 PATERSON ST, ROOM 2330, NEW BRUNSWICK, NJ 08901-1962
(732) 235-6539
(732) 235-7144

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036116200
IL
207R00000X
Internal Medicine Physician
Primary
25MA08332100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
-028
CHAMPUS/TRICARE
VA
05
010202906
VA
05
0169820
NJ
01
188794
ATHEM BC/BS VA/HK
VA
01
5902100
BC/BS NC
NC
05
5902100
NC
01
P00758839
R R MCR
NJ
01
PAR
CORVEL COR CARE
VA
Enumeration date
02/28/2006
Last updated
09/20/2011
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