Organization
INDRAVADAN T PATEL MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. INDRAVADAN T PATEL MD (PROPRIETOR)
(732) 548-6080
Entity
Organization
Contact information
Practice address
2060 OAK TREE RD, EDISON, NJ 08820-2058
(732) 548-6080
(732) 744-0796
Mailing address
2060 OAK TREE RD, EDISON, NJ 08820-2058
(732) 548-6080
(732) 744-0796
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA05317400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4986300
—
NJ
Enumeration date
07/30/2008
Last updated
07/30/2008
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