Individual
DR. ALPA SHANTILAL PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(556) 996-2000
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MB10377800
NJ
207R00000X
Internal Medicine Physician
OS018354
PA
208M00000X
Hospitalist Physician
Primary
25MB10377800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031709650001
—
PA
05
—
1031709650002
—
PA
Enumeration date
02/16/2016
Last updated
10/22/2019
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