Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 25MA07141800 | NJ |
Y | 208600000X | Surgeon | 25MA07141800 | NJ |
N | 2082S0105X | Plastic Hand Surgeon | 25MA07141800 | NJ |
NPI | 1205966462 |
---|---|
Provider Name | Dr. Tushar R. Patel |
First Address | Shrewsbury, NJ 07702-4224 |
Second Address | Shrewsbury, NJ 07702 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2007 |
Last Update Date | 07/06/2018 |