Organization
MANISH PATEL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANISH S PATEL MD (OWNER)
(908) 994-1044
Entity
Organization
Contact information
Practice address
520 WESTFIELD AVE, SUITE 306, ELIZABETH, NJ 07208-1658
(908) 994-1044
Mailing address
306 MAPLE HILL DR, WOODBRIDGE, NJ 07095-4104
(908) 994-1044
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA074156
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9125809
—
NJ
Enumeration date
06/09/2008
Last updated
09/27/2011
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