Individual
SURESCHANDRA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10455 LINCOLN HWY, EVERETT, PA 15537-7046
(814) 623-6161
Mailing address
10455 LINCOLN HWY, EVERETT, PA 15537-7046
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD056995L
PA
Other
Enumeration date
02/21/2006
Last updated
05/24/2021
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