Individual
JAYESH PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
227 E SOMERDALE RD, SOMERDALE, NJ 08083-1105
(856) 784-2626
(856) 784-0375
Mailing address
PO BOX 40, SOMERDALE, NJ 08083-0040
(856) 784-2626
(856) 784-0375
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA71893
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8572003
—
NJ
Enumeration date
09/08/2006
Last updated
07/08/2007
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