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Individual

KASHMIRA PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3200 SUNSET AVE STE 101, OCEAN, NJ 07712-4556
(732) 775-1100
(732) 775-9165
Mailing address
3200 SUNSET AVE STE 101, OCEAN, NJ 07712-4556
(732) 775-1100
(732) 775-9165

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2111931
NY
207R00000X
Internal Medicine Physician
Primary
25MA07402500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0095290
NJ
05
01889138
NY
Enumeration date
12/14/2005
Last updated
02/15/2008
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