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Individual

SURJU PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
207 HOUSE AVE STE 110, CAMP HILL, PA 17011
(717) 972-2821
(717) 972-2845
Mailing address
PO BOX 2, CAMP HILL, PA 17001-0002
(717) 972-2821
(717) 972-2845

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT196702
PA
207RN0300X
Nephrology Physician
Primary
MD454096
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103056138
PA
Enumeration date
06/29/2010
Last updated
12/22/2022
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