Individual
DIPESH SHASHIKANT PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7487
Mailing address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7487
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB10065900
NJ
Other
Enumeration date
06/20/2014
Last updated
01/25/2019
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