Organization
PROGRESSIVE CARE MEDICAL GROUP OF NJ, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEEPAK RAMESHCHANDRA PATEL MD (OWNER/AUTHORIZED OFFICIAL)
(845) 339-5100
Entity
Organization
Contact information
Practice address
29 ORIOLE WAY, MOORESTOWN, NJ 08057-1335
(516) 855-5255
Mailing address
150 EILEEN WAY UNIT 1, SYOSSET, NY 11791-5313
(516) 855-5255
(516) 921-2451
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/28/2017
Last updated
08/29/2022
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