Organization
ASHOK PATEL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHOK PATEL MD (PHYSICIAN)
(856) 939-6400
Entity
Organization
Contact information
Practice address
300 S BLACK HORSE PIKE, RUNNEMEDE, NJ 08078-1904
(856) 939-6400
(555) 555-5555
Mailing address
300 S BLACK HORSE PIKE, RUNNEMEDE, NJ 08078-1904
(856) 939-6400
(555) 555-5555
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA044698000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122570701
—
NJ
Enumeration date
08/05/2006
Last updated
07/22/2011
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