Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 25MB10248900 | NJ |
NPI | 1194068916 |
---|---|
Provider Name | Anup H Patel |
First Address | Edison, NJ 08820-2853 |
Second Address | Edison, NJ 08820 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2013 |
Last Update Date | 03/07/2018 |