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Organization

MITUL R. PATEL M.D. P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MITUL R. PATEL M.D. (PRESIDENT)
(631) 289-0900
Entity
Organization

Contact information

Practice address
250 PATCHOGUE YAPHANK RD, SUITE 7, EAST PATCHOGUE, NY 11772-4800
(631) 289-0900
(631) 758-2542
Mailing address
250 PATCHOGUE YAPHANK RD, SUITE 7, EAST PATCHOGUE, NY 11772-4800
(631) 289-0900
(631) 758-2542

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
203391
NY

Other

Enumeration date
04/19/2011
Last updated
04/19/2011
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