Individual
SHREYA H PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 CENTRAL AVE, EAST ORANGE, NJ 07018-2819
(973) 672-8400
Mailing address
218 BEACON AVE, JERSEY CITY, NJ 07306-3502
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00466300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MP00466300
PHYSICIAN ASSISTANT LICENSE
NJ
Enumeration date
03/06/2018
Last updated
03/06/2018
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