Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 25MA08316200 | NJ |
N | 208600000X | Surgeon | 25MA08316200 | NJ |
Y | 208C00000X | Colorectal Surgeon | 25MA08316200 | NJ |
NPI | 1992993414 |
---|---|
Provider Name | Nell M Patel |
First Address | Tinton Falls, NJ 07701-4947 |
Second Address | New Brunswick, NJ 08901-1962 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2007 |
Last Update Date | 08/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0154776 | (05) | NJ |
P00953263 | RR MCR PTAN (01) | NJ |