Organization
GAURANG PATEL MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAURANG RAMANBHAI PATEL M.D. (OWNER OF GAURANG PATEL MD LLC)
(732) 382-8111
Entity
Organization
Contact information
Practice address
1500 SAINT GEORGES AVE, SUITE G, AVENEL, NJ 07001
(732) 382-8111
(732) 381-0292
Mailing address
1500 SAINT GEORGES AVE, SUITE G, AVENEL, NJ 07001
(732) 382-8111
(732) 381-0292
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
250MA7434900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0080071
—
NJ
Enumeration date
01/18/2012
Last updated
06/24/2024
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