Healthcare Provider Details

I. General information

NPI: 1114297611
Provider Name (Legal Business Name): Y.H.PATEL M.D. F.A.C.O.G.CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/31/2011
Last Update Date: 12/31/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

822 N WOOD AVE
LINDEN NJ
07036-4000
US

IV. Provider business mailing address

822 N WOOD AVE
LINDEN NJ
07036-4000
US

V. Phone/Fax

Practice location:
  • Phone: 908-925-1881
  • Fax: 908-925-1980
Mailing address:
  • Phone: 908-925-1881
  • Fax: 908-925-1980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: YASWANT HARMANBHAI PATEL
Title or Position: PRESIDENT
Credential: M.D., F.A.C.O.G.
Phone: 908-925-1881