Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 25MA05982000 | NJ |
NPI | 1023044104 |
---|---|
Provider Name | Dr. Jayendra N. Patel |
First Address | Marlboro, NJ 07746-1429 |
Second Address | Marlboro, NJ 07746-1429 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2006 |
Last Update Date | 17/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G-85609 | (02) | NJ |