Individual
RUTUKE KIRIT PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(215) 707-8484
(215) 707-3946
Mailing address
2450 W. HUNTING PARK AVENUE, PHILADELPHIA, PA 19129
(215) 707-8484
(215) 707-3946
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA052522
PA
Other
Enumeration date
01/12/2007
Last updated
03/04/2016
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