Healthcare Provider Details

I. General information

NPI: 1811007453
Provider Name (Legal Business Name): KUNAL M. PATEL PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 05/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1175 ROOSEVELT AVE
CARTERET NJ
07008-1536
US

IV. Provider business mailing address

619 LISA PL
NORTH BRUNSWICK NJ
08902-5581
US

V. Phone/Fax

Practice location:
  • Phone: 732-541-2233
  • Fax: 732-541-2237
Mailing address:
  • Phone: 732-422-1721
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: