Organization
JAYANT R. PATEL, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYANT R PATEL MD (OWNER/ PHYSICIAN)
(215) 785-9595
Entity
Organization
Contact information
Practice address
501 BATH RD, SUITE 209A, BRISTOL, PA 19007-3101
(215) 785-9595
(215) 785-9891
Mailing address
501 BATH RD, SUITE 209A, BRISTOL, PA 19007-3101
(215) 785-9595
(215) 785-9891
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD037709L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
533330
AETNA
—
01
—
DE5449
RAILROAD MEDICARE
PA
Enumeration date
06/11/2006
Last updated
08/22/2020
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