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Organization

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Active
Organization subpart
No

Provider details

NPI number
Authorized official
VIREL PRAJAPATI PA-C (OWNER)
(609) 217-1847
Entity
Organization

Contact information

Practice address
43 EAST SUSSEX AVE, SEWELL, NJ 08080-0808
(609) 217-1847
Mailing address
43 EAST SUSSEX AVE, SEWELL, NJ 08080
(609) 217-1847

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary

Other

Enumeration date
10/06/2021
Last updated
10/06/2021
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