Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 232230 | MA |
Y | 111NI0900X | Internist | 232230 | MA |
N | 207RA0401X | Internist - Addiction Medicine | 232230 | MA |
NPI | 1295803534 |
---|---|
Provider Name | Montu Patel |
First Address | Westford, MA 01886-1976 |
Second Address | Groton, MA 01450-2047 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2006 |
Last Update Date | 17/07/2015 |