Individual
PALAK S PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 277-8640
(908) 673-7241
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.005890RX
OH
363AM0700X
Medical Physician Assistant
Primary
25MP00845800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0344400
—
OH
Enumeration date
02/15/2019
Last updated
09/04/2024
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