Healthcare Provider Details

I. General information

NPI: 1801417290
Provider Name (Legal Business Name): NEIL SAURABH PATEL DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2020
Last Update Date: 08/01/2024
Certification Date: 08/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 WESCOTT DR
FLEMINGTON NJ
08822-4603
US

IV. Provider business mailing address

PO BOX 622
FRANKLIN LAKES NJ
07417-0622
US

V. Phone/Fax

Practice location:
  • Phone: 908-300-3700
  • Fax:
Mailing address:
  • Phone: 908-300-3700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number25MB12207100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: