Individual
DR. JAYSHREE R PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
663 BRACE AVE, PERTH AMBOY, NJ 08861-3027
(908) 922-5524
Mailing address
4 SOVAR CT, EDISON, NJ 08820-2440
(908) 922-5524
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA05771500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223270119
TAXPAPER IDENTIFICATIONS
NJ
Enumeration date
11/27/2007
Last updated
09/28/2021
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