Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 25MA10682100 | NJ |
NPI | 1063831584 |
---|---|
Provider Name | Dr. Milind Patel |
First Address | Edgewater, NJ 07020-1016 |
Second Address | Philadelphia, PA 19146-1414 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2014 |
Last Update Date | 12/12/2019 |