Individual
TEJALKUMAR PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1401 ATLANTIC AVE, ATLANTIC CITY, NJ 08401-7022
(609) 572-8333
Mailing address
1401 ATLANTIC AVE, ATLANTIC CITY, NJ 08401-7022
(609) 572-8333
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ00515400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0451886
—
NJ
Enumeration date
08/22/2014
Last updated
03/28/2018
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