Individual
SHIVANI BHARAT PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3 BRADLEY LN, MONTVALE, NJ 07645-1154
(734) 717-9780
Mailing address
3 BRADLEY LN, MONTVALE, NJ 07645-1154
(734) 717-9780
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
048778
CT
Other
Enumeration date
06/04/2010
Last updated
06/04/2010
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