Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 25MA10787500 | NJ |
NPI | 1083096903 |
---|---|
Provider Name | Rishi Patel |
First Address | Camden, NJ 08103-1461 |
Second Address | Pennington, NJ 08534-2521 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2015 |
Last Update Date | 11/12/2020 |