Individual
DEEPA SAMIR PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
407 MAIN ST STE 1, SPOTSWOOD, NJ 08884-1739
(732) 416-0065
Mailing address
6 SANIBEL CT, MONROE TOWNSHIP, NJ 08831-5817
(732) 521-8071
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA70505
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8612200
—
NJ
Enumeration date
09/16/2006
Last updated
08/04/2021
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