Individual
DR. LOPA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
160 WALNUT ST, MONTCLAIR, NJ 07042-3802
(973) 783-5276
(973) 783-6014
Mailing address
160 WALNUT ST, MONTCLAIR, NJ 07042-3802
(973) 783-5276
(973) 783-6014
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA07974200
NJ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
25MA07974200
NJ
207RP1001X
Pulmonary Disease Physician
25MA07974200
NJ
207RS0012X
Sleep Medicine (Internal Medicine) Physician
25MA07974200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102164
—
NJ
01
—
91002088001
AMERICHOICE
NJ
01
—
P00789032
RR MEDICARE
NJ
Enumeration date
08/03/2006
Last updated
05/20/2014
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