Organization
PRUDENTMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAITRI PATEL MD (PHYSICIAN OWNER)
(732) 404-0044
Entity
Organization
Contact information
Practice address
5 DUNDEE AVENUE, ISELIN, NJ 08830-2118
(732) 404-0044
(800) 310-0849
Mailing address
5 DUNDEE AVENUE, ISELIN, NJ 08830-2118
(732) 404-0044
(800) 310-0849
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
25MA08134000
NJ
Other
Enumeration date
04/11/2008
Last updated
09/26/2008
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