Individual
FEROZA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 N 4TH ST, LEBANON, PA 17046-5606
(717) 270-1949
(717) 270-1958
Mailing address
30 N 4TH ST, LEBANON, PA 17046-5606
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OT019417
PA
Other
Enumeration date
06/16/2019
Last updated
06/16/2019
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