Individual
DIVYESHA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-2000
Mailing address
149 TATHAM RD, BENSALEM, PA 19020-1641
(215) 808-6855
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
OT024088
PA
207RP1001X
Pulmonary Disease Physician
Primary
OT024088
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2022
Last updated
05/27/2025
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