Individual
AMI DINESH PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1750 DEPTFORD CENTER RD, WOODBURY, NJ 08096-5222
(856) 848-3162
(856) 848-5657
Mailing address
6 FLORABUNDA LN, CINNAMINSON, NJ 08077-4530
(856) 829-1748
(856) 848-5657
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00576300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2689005
AETNA
NJ
Enumeration date
12/07/2006
Last updated
07/08/2007
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