Individual
KRISHNA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 US HIGHWAY 9, OLD BRIDGE, NJ 08857-2860
(732) 200-7800
Mailing address
15 LAVENDER DR, PISCATAWAY, NJ 08854-3593
(732) 853-4154
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00827800
NJ
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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