Organization
VIT RETINA LLC
Active
Organization
VIT RETINA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIRAG V PATEL M.D. (PHYSICIAN)
(973) 617-0473
Entity
Organization
Contact information
Practice address
7 BOG AND VLY LN, LINCOLN PARK, NJ 07035-1346
(973) 617-0473
Mailing address
7 BOG AND VLY LN, LINCOLN PARK, NJ 07035-1346
(973) 617-0473
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA08820200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205940392
INDIVIDUAL NPI
—
Enumeration date
12/03/2011
Last updated
12/03/2011
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