Individual
MR. CHANDRAKANT AMBALAL PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
142 PALISADE AVE, SUITE 215, JERSEY CITY, NJ 07306-1133
(201) 653-3950
(201) 653-8756
Mailing address
142 PALISADE AVE, SUITE 215, JERSEY CITY, NJ 07306-1133
(201) 653-3950
(201) 653-8756
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA03542400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4211799
AETNA
—
01
—
P443872
OXFORD
—
Enumeration date
07/14/2006
Last updated
07/08/2007
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