Individual
MISRI MALAV PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 TRINITY PL, AVENEL, NJ 07001-1818
(732) 983-6121
Mailing address
102 TRINITY PL, AVENEL, NJ 07001-1818
(732) 983-6121
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00913200
NJ
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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