Individual
RAJ HASMUKH PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
159 NORTH ST, WILLIMANTIC, CT 06226-2522
(408) 504-5016
Mailing address
159 NORTH ST, WILLIMANTIC, CT 06226-2522
(408) 504-5016
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2371373
MA
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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