Individual
MAMTA A PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN FNP BC
Contact information
Practice address
680 DARMODY AVE, NORTH BRUNSWICK, NJ 08902-0890
(732) 429-2316
Mailing address
680 DARMODY AVE, NEW BRUNSWICK, NJ 08902-4547
(732) 429-2316
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00930900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053968321
CDS
NJ
Enumeration date
08/21/2019
Last updated
07/17/2024
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