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Individual

DR. JAYKUMAR C PATEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
501 BATH RD, SUITE 508, BRISTOL, PA 19007-3101
(215) 785-9890
(215) 785-9987
Mailing address
9 BRIGHTON PL, NEWTOWN, PA 18940-1171
(215) 785-9890
(215) 785-9987

Taxonomy

Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
MD031132E
PA
208200000X
Plastic Surgery Physician
MD031132E
PA
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
MD031132E
PA
208600000X
Surgery Physician
MD031132E
PA
2086S0105X
Surgery of the Hand (Surgery) Physician
MD031132E
PA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD031132E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000080208
HIGHMARK BLUE SHIELD
PA
01
00524710000
INDEPEDENCE BLUE CROSS
PA
05
07341843
PA
01
240001232
RAILROAD MEDICARE
PA
Enumeration date
12/05/2006
Last updated
03/07/2023
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