Individual
NISH A PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
175 HIGH ST, NEWTON, NJ 07860-1004
(973) 383-2121
Mailing address
3998 FAIR RIDGE DR, SUITE 300, FAIRFAX, VA 22033-2921
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA08920400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0414956
—
NJ
Enumeration date
06/27/2011
Last updated
04/03/2015
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