Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | DI19358 | NJ |
NPI | 1003921677 |
---|---|
Provider Name | Mrs. Harsha J Patel |
First Address | Plainfield, NJ 07060 |
Second Address | Plainfield, NJ 07060 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7179707 | (05) | NJ |