Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 25MB08541500 | NJ |
NPI | 1013158047 |
---|---|
Provider Name | Amul S Patel |
First Address | Millburn, NJ 07041-1847 |
Second Address | Millburn, NJ 07041-1847 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2009 |
Last Update Date | 29/07/2013 |