Individual
KIRTIKUMAR J PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D. F.A.C.S.
Contact information
Practice address
530 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861-3654
(732) 442-3700
Mailing address
454 KOSCIUSKO AVE, SOUTH PLAINFIELD, NJ 07080-3961
(908) 222-7095
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA08020500
NJ
208600000X
Surgery Physician
MD.202858
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00248375
—
NJ
Enumeration date
02/26/2007
Last updated
04/27/2016
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