Individual
DR. DUSHYANT RAMESHCHANDRA PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12-15 BROADWAY STE B, FAIR LAWN, NJ 07410-2031
(201) 773-6868
(201) 773-6867
Mailing address
12-15 BROADWAY STE B, FAIR LAWN, NJ 07410-2031
(201) 773-6868
(201) 773-6867
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07990500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0108872
—
NJ
Enumeration date
05/06/2006
Last updated
05/01/2015
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