Individual
MIRA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
520 N WOOD AVE, LINDEN, NJ 07036-4147
(908) 587-9300
(908) 587-1901
Mailing address
520 N WOOD AVE, LINDEN, NJ 07036
(908) 587-9300
(908) 587-1901
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00520000
NJ
Other
Enumeration date
09/08/2014
Last updated
06/04/2015
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