Individual
BHAVNA K PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, FAAP
Contact information
Practice address
2950 COLLEGE DRIVE, UNIT 2 C, VINELAND, NJ 08360
(856) 692-6000
(856) 692-0609
Mailing address
76 S STATE ST, VINELAND, NJ 08360-4851
(856) 205-1112
(856) 205-1114
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA06289200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22-3133751
TAX IDENTIFICATION NUMBER
NJ
05
—
4993900
—
NJ
Enumeration date
07/05/2006
Last updated
09/28/2016
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