Individual
DR. JAYMICA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
509 N BROAD ST, WOODBURY, NJ 08096-1617
(856) 686-5396
(856) 686-5332
Mailing address
52 W RED BANK AVE, SUITE 26, WOODBURY, NJ 08096-1695
(856) 853-2025
(856) 845-8024
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MA08381000
NJ
208M00000X
Hospitalist Physician
Primary
25MA08381000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12641PSW
MEDICARE PROVIDER NUMBER
NJ
05
—
186872
—
NJ
Enumeration date
05/12/2008
Last updated
04/25/2016
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