Organization
MAYANK PATEL MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAYANK D PATEL MD (PRESIDENT)
(732) 382-0344
Entity
Organization
Contact information
Practice address
659 NEW DOVER RD, EDISON, NJ 08820-1912
(732) 382-0344
(732) 382-0340
Mailing address
659 NEW DOVER RD, EDISON, NJ 08820-1912
(732) 382-0344
(732) 382-0340
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA04026700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3396801-01
—
NJ
Enumeration date
05/26/2008
Last updated
09/10/2014
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