Individual
KAUSHIK N PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
540 LAFAYETTE AVE, HAWTHORNE, NJ 07506-2448
(973) 304-0700
Mailing address
540 LAFAYETTE AVE, HAWTHORNE, NJ 07506-2448
(551) 358-7421
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
052867-1
NY
1223G0001X
General Practice Dentistry
Primary
22DI02326000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0180645
—
NJ
05
—
02783860
—
NY
Enumeration date
05/22/2007
Last updated
02/04/2021
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