Individual
DR. DEEPAK VALJIBHAI PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
34 CREEKSIDE CT, SECAUCUS, NJ 07094-3750
(201) 463-3439
Mailing address
34 CREEKSIDE CT, SECAUCUS, NJ 07094-3750
(201) 463-3439
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25MA07527300
NJ
207X00000X
Orthopaedic Surgery Physician
Primary
25MA07527300
NJ
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
25MA07527300
NJ
Other
Enumeration date
06/29/2006
Last updated
02/09/2021
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