Individual
DEVISHA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
459 PASSAIC AVE, WEST CALDWELL, NJ 07006-7457
(973) 276-7898
Mailing address
1833 CLIFTON RD NE, ATLANTA, GA 30329-4021
(404) 728-6500
(404) 728-6529
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8758
GA
363AM0700X
Medical Physician Assistant
25MP00270200
NJ
Other
Enumeration date
02/23/2012
Last updated
01/10/2020
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