Individual
DR. JAYA C PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1676 LANDIS AVENUE, VINELAND DEVELOPMENTAL CENTER, VINELAND, NJ 08360
(856) 696-6000
Mailing address
2920 EAGLES COURT, VINELAND, NJ 08361-7300
(856) 691-4807
(856) 697-0685
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4474201
—
NJ
01
—
636224B1H
MEDICARE BILLING ID
NJ
Enumeration date
11/27/2006
Last updated
12/20/2007
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