Individual
DR. SUBODH H PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1031 MCBRIDE AVE, SUITE D212, WEST PATERSON, NJ 07424-2559
(973) 890-1303
(973) 890-5609
Mailing address
1031 MCBRIDE AVE, SUITE D212, WEST PATERSON, NJ 07424-2559
(973) 890-1303
(973) 890-5609
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MA031252
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0013836
GHI PPO
NJ
01
—
0104821000
AMERIHEALTH
NJ
01
—
100016032
RAILROAD MEDICARE
NJ
05
—
1753207
—
NJ
01
—
1K8732
HEALTHNET
NJ
01
—
2569865
AETNA HMO
NJ
01
—
4452559
AETNA PPO
NJ
01
—
5V9771
EMPIRE BC/BS
NJ
01
—
PS159
OXFORD
NJ
Enumeration date
06/05/2006
Last updated
04/22/2013
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