Individual
NISHA BHASKAR PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
18 NO. THIRD AVE., HIGHLAND PARK, NJ 08904-2429
(732) 431-8266
(732) 294-9794
Mailing address
111 BRAMBLE DRIVE, MORGANVILLE, NJ 07751
(732) 395-0251
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00601000
NJ
Other
Enumeration date
03/11/2021
Last updated
03/28/2022
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