Individual
MS. VIRAJ PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA -C
Contact information
Practice address
114 LAKEVIEW AVE, SOUTH PLAINFIELD, NJ 07080
(908) 941-2227
Mailing address
1075 CENTRAL AVE, CLARK, NJ 07066-1116
(732) 574-1399
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
25MP00294100
NJ
363AM0700X
Medical Physician Assistant
Primary
25MP00294100
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/19/2012
Last updated
04/09/2019
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