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Individual

TUSHAR C PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1155 PURCHASE ST, NEW BEDFORD, MA 02740
(508) 997-2900
(508) 991-4432
Mailing address
459 PLYMOUTH AVE, FALL RIVER, MA 02721
(508) 679-0010
(508) 672-4679

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
51540
MA
208D00000X
General Practice Physician
51540
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
274212
BLUE SHIELD
RI
01
PAJ05167
BLUE SHIELD
MA
Enumeration date
11/20/2006
Last updated
12/05/2011
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