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Individual

DR. KISHAN BHARAT PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O

Contact information

Practice address
1 MEDICAL CENTER DR, UMDNJ-SOM, STRATFORD, NJ 08084-1500
(856) 346-7985
(856) 346-6673
Mailing address
151 FRIES MILL RD STE 301, TURNERSVILLE, NJ 08012-2016
(856) 513-4124

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB10011800
NJ
207R00000X
Internal Medicine Physician
25MB10011800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0579157
NJ
Enumeration date
06/06/2012
Last updated
02/10/2020
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