Organization
PREAKNESS MEDICAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJESH M PATEL M.D (PHYSICIAN)
(973) 432-0104
Entity
Organization
Contact information
Practice address
1466 RATZER RD, WAYNE, NJ 07470-2430
(973) 432-0104
Mailing address
1466 RATZER RD, WAYNE, NJ 07470-2430
(973) 432-0104
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA08128400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02074546
—
NY
Enumeration date
05/17/2009
Last updated
05/17/2009
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