Organization
PATRAWALLA M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIRISH C PATRAWALLA M.D. (PRESIDENT)
(973) 763-4120
Entity
Organization
Contact information
Practice address
96 MILLBURN AVE, STE 203, MILLBURN, NJ 07041-1944
(973) 763-4120
(973) 763-1713
Mailing address
96 MILLBURN AVE, STE 203, MILLBURN, NJ 07041-1944
(973) 763-4120
(973) 763-1713
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/10/2008
Last updated
01/10/2008
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