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Individual

SHIVANI PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8008 ROUTE 130 STE 120, DELRAN, NJ 08075-1869
(844) 542-2273
Mailing address
400 LAUREL OAK RD STE 105, VOORHEES, NJ 08043-4455

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ01115000
NJ
363L00000X
Nurse Practitioner
SP023181
PA

Other

Enumeration date
02/24/2021
Last updated
02/05/2022
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