Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RI0011X | Interventional Cardiology | 216558-1 | NY |
Y | 207RI0011X | Interventional Cardiology | 25MA07889200 | NJ |
NPI | 1073597308 |
---|---|
Provider Name | Dr. Parag Vishnu Patel |
First Address | Toms River, NJ 08754-0148 |
Second Address | Toms River, NJ 08755-6434 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2005 |
Last Update Date | 11/02/2009 |