Individual
SHANNON PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
571 S SEAVIEW AVE, GALLOWAY, NJ 08205-9726
(732) 744-6101
Mailing address
571 S SEAVIEW AVE, GALLOWAY, NJ 08205-9726
(732) 744-6101
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NO10819300
NJ
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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