Individual
DR. NITIN SURESH PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19 DAVIS AVE FL 6, NEPTUNE, NJ 07753-4488
(732) 897-3990
(732) 897-3997
Mailing address
19 DAVIS AVE FL 6, NEPTUNE, NJ 07753-4488
(732) 897-3990
(732) 897-3997
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA10286800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02995513
—
NY
Enumeration date
04/19/2012
Last updated
09/20/2022
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