Individual
SHRADDHA S PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 GOLDSTAR DR, PRINCETON, NJ 08540-8578
(908) 458-7185
Mailing address
29 GOLDSTAR DR, PRINCETON, NJ 08540-8578
(908) 458-7185
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00560900
NJ
Other
Enumeration date
03/30/2020
Last updated
03/30/2020
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