Individual
JAYESHKUMAR S PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 SUMMIT AVE, BASEMENT, JERSEY CITY, NJ 07306-2707
(201) 209-1802
(201) 604-7764
Mailing address
550 SUMMIT AVE, BASEMENT, JERSEY CITY, NJ 07306-2707
(201) 209-1802
(201) 604-7764
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MA06719700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8551804
—
NJ
Enumeration date
09/20/2006
Last updated
02/03/2020
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