Individual
DR. PREM PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
65 RIDGEDALE AVE, CEDAR KNOLLS, NJ 07927-1313
(973) 401-1100
Mailing address
703 MAIN ST, PATERSON, NJ 07503-2621
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA11360900
NJ
207RI0011X
Interventional Cardiology Physician
25MA11360900
NJ
Other
Enumeration date
06/19/2017
Last updated
09/15/2024
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