Individual
DIVYA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 FRANK W BURR BLVD # 6, TEANECK, NJ 07666-6839
(201) 304-7552
Mailing address
400 FRANK W BURR BLVD # 6, TEANECK, NJ 07666-6839
(201) 304-7552
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA12175100
NJ
Other
Enumeration date
06/25/2019
Last updated
09/10/2024
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