Individual
JANICE PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
133 OLD ROAD TO 9 ACRE COR, CONCORD, MA 01742-4169
(978) 369-1400
Mailing address
133 OLD ROAD TO 9 ACRE COR, CONCORD, MA 01742-4169
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
235117
MA
207RN0300X
Nephrology Physician
Primary
235117
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
235117
MA STATE MEDICAL LICENSE
MA
Enumeration date
11/13/2007
Last updated
12/26/2024
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