| Raj H Patel Md Pa | |
|
701 Stuyvesant Ave Irvington NJ 07111-1823 | |
| (973) 372-1828 | |
| Not Available |
| Full Name | Raj H Patel Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 701 Stuyvesant Ave, Irvington, New Jersey |
| Authorized Official Name and Position | Sangita Patel (MANGER) |
| Authorized Official Contact | 7329022801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raj H Patel Md Pa Po Box 290 Vauxhall NJ 07088-0290 Ph: (973) 372-1828 | Raj H Patel Md Pa 701 Stuyvesant Ave Irvington NJ 07111-1823 Ph: (973) 372-1828 |
| NPI Number | 1841797669 |
|---|---|
| Provider Enumeration Date | 04/09/2018 |
| Last Update Date | 04/09/2018 |
| Medicare PECOS PAC ID | 9234484171 |
|---|---|
| Medicare Enrollment ID | O20180619000107 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841797669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA10303200 (New Jersey) | Primary |
| Provider Name | Raj H Patel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1457710980 PECOS PAC ID: 0143575084 Enrollment ID: I20180619000138 |
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