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NPI Code Detail

MEDICARE: DR. RAJUBHAI M PATEL D.D.S

MEDICARE: DR. RAJUBHAI M PATEL D.D.S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryDI 19752NJ

General Provider Information

NPI Number : 1205919743
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAJUBHAI M PATEL D.D.S
Provider Business Mailing Address
First Line : 500 WESTFIELD AVE
Second Line :
City : ELIZABETH
State : NJ
Zip : 07208-1642
Country : US
Telephone Number : 908-354-4900
Fax Number :
Provider Business Practice Location Address
First Line : 500 WESTFIELD AVE
Second Line :
City : ELIZABETH
State : NJ
Zip : 07208-1642
Country : US
Telephone Number : 908-354-4900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2006
Last Update Date : 07/08/2007

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