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Organization

SURESH I PATEL MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SURESH I PATEL M.D. (PRESIDENT)
(908) 561-5700
Entity
Organization

Contact information

Practice address
34-36 PROGRESS ST STE A1, EDISON, NJ 08820-1197
(908) 561-5700
Mailing address
34-36 PROGRESS ST STE A1, EDISON, NJ 08820-1197
(908) 561-5700

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1800001
NJ
Enumeration date
09/11/2008
Last updated
09/11/2008
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