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PRABHAKER SOMABHAI PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
901 ROUTE 168, SUITE 101, TURNERSVILLE, NJ 08012
(856) 228-7577
(856) 228-0534
Mailing address
901 ROUTE 168, SUITE 101, TURNERSVILLE, NJ 08012
(856) 228-7577
(856) 228-0534

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MA047050
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0382344000
AMERIHEALTH
NJ
05
2497107
NJ
Enumeration date
11/16/2006
Last updated
07/08/2007
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