Individual
JENNY PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
537 RIVERSIDE AVE, SOMERSET, MA 02725-2843
(774) 644-6694
Mailing address
7000 STONEWOOD DR 151, WEXFORD, PA 15090-7376
(724) 933-0300
(724) 933-0456
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA057735
PA
Other
Enumeration date
03/25/2014
Last updated
09/16/2015
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