Individual
ANITHA J PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3715 MAIN STREET, SUITE 309, BRIDGEPORT, CT 06606
(203) 372-4211
(203) 372-4142
Mailing address
3715 MAIN STREET, SUITE 309, BRIDGEPORT, CT 06606
(203) 372-4211
(203) 372-4142
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
035459
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010035459CT01
ANTHEM BLUE CROSS
CT
01
—
0V6126
HEALTHNET
CT
Enumeration date
08/20/2006
Last updated
07/08/2007
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