Individual
AMITA N PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.,
Contact information
Practice address
817 RAHWAY AVE, ELIZABETH, NJ 07202-2212
(908) 353-5750
(908) 355-2452
Mailing address
817 RAHWAY AVE, ELIZABETH, NJ 07202-2212
(908) 353-5750
(908) 355-2452
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
25MA03959800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0433705
—
NJ
Enumeration date
01/24/2007
Last updated
07/08/2007
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