Manish Patel Md Pc | |
520 Westfield Ave Suite 306 Elizabeth NJ 07208-1658 | |
(908) 994-1044 | |
Not Available |
Full Name | Manish Patel Md Pc |
---|---|
Speciality | Internal Medicine |
Location | 520 Westfield Ave, Elizabeth, New Jersey |
Authorized Official Name and Position | Manish S Patel (OWNER) |
Authorized Official Contact | 9089941044 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Manish Patel Md Pc 306 Maple Hill Dr Woodbridge NJ 07095-4104 Ph: (908) 994-1044 | Manish Patel Md Pc 520 Westfield Ave Suite 306 Elizabeth NJ 07208-1658 Ph: (908) 994-1044 |
NPI Number | 1801055447 |
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Provider Enumeration Date | 06/09/2008 |
Last Update Date | 09/27/2011 |
Medicare PECOS PAC ID | 5799855276 |
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Medicare Enrollment ID | O20080610000640 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801055447 | NPI | - | NPPES |
9125809 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MA074156 (New Jersey) | Primary |
Provider Name | Manish S Patel |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1053418459 PECOS PAC ID: 9335172329 Enrollment ID: I20050912000047 |
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