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Individual

DR. VIVEK LAXMIKANT PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
295 VARNUM AVE, LOWELL, MA 01854
(978) 937-6274
(978) 934-8490
Mailing address
295 VARNUM AVE, LOWELL, MA 01854-2134
(978) 937-6274
(978) 934-8490

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
18818
NH
2085R0001X
Radiation Oncology Physician
Primary
264896
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110112048A
MA
05
3114625
NH
Enumeration date
04/26/2013
Last updated
04/18/2019
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