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Individual

DR. ASHOK JIVANLAL PATEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2110 DORCHESTER AVE, SUITE 303, DORCHESTER CENTER, MA 02124-5628
(617) 296-0720
(617) 296-5166
Mailing address
2100 DORCHESTER AVE, SETON MEDICAL BUILDING-SUITE 303, DORCHESTER, MA 02124
(617) 296-0720
(617) 296-5166

Taxonomy

Speciality
Code
Description
License number
State
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
52194
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0030542
NEIGHBORHOOD HEALTH PLAN
MA
01
030506866
CIGNA AARP COMMONWLTH
MA
01
04-05063
EVERCARE
MA
01
052194
TUFTS HEALTH PLAN
MA
05
3127303
MA
01
4488345
AETNA
MA
01
64369
HARVARD PILGRIM HLTH CARE
MA
01
J30545
BLUE CROSS BLUE SHIELD
MA
01
P00057680
RAILROAD MEDICARE
MA
Enumeration date
07/18/2006
Last updated
12/06/2012
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