Individual
PRIYA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
613 EXECUTIVE DR, PRINCETON, NJ 08540-1528
(908) 922-6625
Mailing address
147 PROVIDENCE BLVD, KENDALL PARK, NJ 08824-1932
(908) 655-5565
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00545100
NJ
Other
Enumeration date
09/30/2019
Last updated
10/10/2019
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