Individual
CHIRAG PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 PROSPECT AVE, 4 MAIN; ROOM 4621, HACKENSACK, NJ 07601
(551) 996-2605
Mailing address
30 PROSPECT AVE, 4 MAIN; ROOM 4621, HACKENSACK, NJ 07601-1915
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA10262600
NJ
390200000X
Student in an Organized Health Care Education/Training Program
TRN21854
FL
Other
Enumeration date
06/12/2015
Last updated
06/14/2018
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