Organization
INFECTIOUS DISEASE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVESH N PATEL MD (PHYSICIAN)
(626) 348-4239
Entity
Organization
Contact information
Practice address
901 ROUTE 168, SUITE 102, BLACKWOOD, NJ 08012-3210
(626) 348-4239
Mailing address
PO BOX 1286, BLACKWOOD, NJ 08012-0986
(626) 348-4239
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
25MA08058500
NJ
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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