Individual
PRERAKKUMAR J PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1925 PACIFIC AVE, ATLANTIC CITY, NJ 08401-6713
(609) 441-8146
Mailing address
1925 PACIFIC AVE, ATLANTIC CITY, NJ 08401-6713
(609) 441-8146
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT209754
PA
208M00000X
Hospitalist Physician
Primary
25MA10408300
NJ
Other
Enumeration date
06/27/2015
Last updated
10/01/2018
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