Individual
MANISHA B PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8 SMOKE TREE CLOSE, PISCATAWAY, NJ 08854-5109
(732) 207-7017
Mailing address
8 SMOKE TREE CLOSE, PISCATAWAY, NJ 08854-5109
(732) 207-7017
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110-002591
VA
363AS0400X
Surgical Physician Assistant
Primary
25MP00080900
NJ
Other
Enumeration date
12/13/2006
Last updated
02/01/2012
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