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General NPI Number Information
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NPI Number | 1619053741
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Entity Type | Individual
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Provider Name | ANIL PATEL MD
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Gender | Male
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 12/14/2007
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Provider Practice Location Address
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Address Line | 466 OLD HOOK RD SUITE 19
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City | EMERSON
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State | NJ
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Zip | 07630-1396
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Country | US
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Telephone | 201-967-2455
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Fax | 201-634-9647
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Provider Business Mailing Address
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Address Line | PO BOX 34546
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City | NEWARK
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State | NJ
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Zip | 07189-0001
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Country | US
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Telephone | 908-653-9399
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 206588
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License Number State | NY
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