Individual
MS. JITHA RAI-PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
693 MAIN ST BUILDING A STE 2, LUMBERTON, NJ 08048-5043
(609) 265-1700
(609) 265-8146
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(609) 265-1700
(609) 265-8146
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
24MA09629800
NJ
174400000X
Specialist
—
—
207R00000X
Internal Medicine Physician
MD428142
PA
207RG0100X
Gastroenterology Physician
Primary
25MA09629800
NJ
207RG0100X
Gastroenterology Physician
MD428142
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0496626
—
NJ
05
—
1018468980002
—
PA
01
—
232359401
MAIN LINE HEALTHCARE
PA
Enumeration date
06/18/2006
Last updated
12/17/2024
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