Individual
KETAN R PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 E MAIN ST, SUITE A, MILLVILLE, NJ 08332-4293
(856) 825-5932
(856) 825-4819
Mailing address
10 E MAIN ST, SUITE A, MILLVILLE, NJ 08332-4293
(856) 825-5932
(856) 825-4819
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA6269600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6645801
—
NJ
Enumeration date
10/27/2006
Last updated
04/20/2012
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