Individual
PRASHANT B PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
489 UNION AVE, BRIDGEWATER, NJ 08807-3143
(732) 356-9950
(732) 356-9959
Mailing address
489 UNION AVE, BRIDGEWATER, NJ 08807-3143
(732) 356-9950
(732) 356-9959
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25MA08139100
NJ
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
25MA08139100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0135623
—
NJ
01
—
2872484000
BCBS
NJ
01
—
P00426872
RAIL ROAD MEDICARE
NJ
Enumeration date
06/01/2007
Last updated
04/16/2013
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