Individual
DR. MINATI PATTANAYAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D, PC
Contact information
Practice address
89 SOMERSET DRIVE, WILLINGBORO, NJ 08046
(609) 877-4545
(609) 877-5129
Mailing address
89 SOMERSET DRIVE, WILLINGBORO, NJ 08046
(609) 877-4545
(609) 877-5129
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA41600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3358909
—
NJ
Enumeration date
10/03/2006
Last updated
07/08/2007
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