Individual
SANJIV C PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
147 E 3RD ST, STE 2, MOORESTOWN, NJ 08057-2924
(856) 234-2500
(856) 234-3907
Mailing address
147 E 3RD ST, STE 2, MOORESTOWN, NJ 08057-2924
(856) 234-2500
(856) 234-3907
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA05916000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7559500
—
NJ
Enumeration date
02/21/2007
Last updated
10/16/2020
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