Individual
CHAITALI J. PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 LINCOLN HWY, FAIRLESS HILLS, PA 19030-1008
(267) 587-0775
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
C0007267
MD
363A00000X
Physician Assistant
25MP00618300
NJ
363A00000X
Physician Assistant
Primary
MA062513
PA
Other
Enumeration date
09/06/2019
Last updated
07/21/2021
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