Individual
JAY N PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
Mailing address
1188 GREENFIELD DR, MECHANICSBURG, PA 17055-9532
(717) 982-7651
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA062240
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA062240
THE PENNSYLVANIA DEPARTMENT OF STATE
PA
Enumeration date
06/14/2023
Last updated
06/27/2023
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