Individual
RAJ PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
701 STUYVESANT AVE, IRVINGTON, NJ 07111-1823
(973) 372-1828
Mailing address
PO BOX 290, VAUXHALL, NJ 07088-0290
(973) 372-1828
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
25MA10303200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA10303200
INFECTIOUS DES
NJ
05
—
25MA10303200
—
NJ
Enumeration date
02/11/2016
Last updated
04/09/2018
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