Individual
DR. RUPA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
570 SOUTH AVE E BLDG A, CRANFORD, NJ 07016-3266
(908) 603-4200
(908) 497-1633
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25MA07737800
NJ
208800000X
Urology Physician
Primary
25MA07737800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3532989
AETNA HMO ID #
NJ
01
—
7525591
AETNA PPO ID #
NJ
01
—
8224351
GHI PPO
NJ
01
—
P00263910
RR MEDICARE ID #
NJ
Enumeration date
08/16/2006
Last updated
03/09/2022
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