Individual
KALPESH P. PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
110 REHILL AVE, SOMERVILLE, NJ 08876-2519
(908) 685-2864
(908) 704-3777
Mailing address
317 GEORGE ST, 3RD FLOOR, PROVIDER ENROLLMENT, NEW BRUNSWICK, NJ 08901-2008
(732) 235-6772
(732) 235-8347
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MB079951
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0124435
—
NJ
Enumeration date
11/02/2006
Last updated
02/01/2008
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