Individual
DR. SHIVANI PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
96 MOUNT PLEASANT AVE, WALLINGTON, NJ 07057-1909
(201) 370-3562
Mailing address
96 MOUNT PLEASANT AVE, WALLINGTON, NJ 07057-1909
(201) 370-3562
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA09526700
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/16/2011
Last updated
04/23/2015
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