Healthcare Provider Details

I. General information

NPI: 1245208024
Provider Name (Legal Business Name): HARESHBHAI C PATEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2006
Last Update Date: 10/04/2024
Certification Date: 10/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 STONE HARBOR BLVD
CAPE MAY COURT HOUSE NJ
08210-2138
US

IV. Provider business mailing address

2 STONE HARBOR BLVD
CAPE MAY COURT HOUSE NJ
08210-2138
US

V. Phone/Fax

Practice location:
  • Phone: 609-465-0300
  • Fax:
Mailing address:
  • Phone: 609-465-0300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number25MA03419000
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number25MA03419000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: