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Individual

SHIVANI PATEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
18 N 3RD AVE, HIGHLAND PARK, NJ 08904-2408
(732) 545-0094
Mailing address
967 LINCOLN AVE, PISCATAWAY, NJ 08854-5006
(848) 333-1549

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
09/22/2021
Last updated
03/31/2023
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