Healthcare Provider Details

I. General information

NPI: 1497927933
Provider Name (Legal Business Name): SONAL PATEL APN-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2008
Last Update Date: 03/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

71 PRINCETON RD
PISCATAWAY NJ
08854-3029
US

IV. Provider business mailing address

71 PRINCETON RD
PISCATAWAY NJ
08854-3029
US

V. Phone/Fax

Practice location:
  • Phone: 732-968-6711
  • Fax:
Mailing address:
  • Phone: 732-968-6711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number26NJ00150500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: