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NPI Code Detail

MEDICARE: SHWETA PATEL

MEDICARE:   SHWETA  PATEL
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
1363LF0000XFamily Nurse PractitionerF343440NY

General Provider Information

NPI Number : 1407326275
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHWETA PATEL
Provider Business Mailing Address
First Line : 184 MILLER AVE
Second Line :
City : ELMWOOD PARK
State : NJ
Zip : 07407-2224
Country : US
Telephone Number : 410-714-3096
Fax Number :
Provider Business Practice Location Address
First Line : 66 PARK ST STE 100
Second Line :
City : MONTCLAIR
State : NJ
Zip : 07042-2988
Country : US
Telephone Number : 973-577-3010
Fax Number : 973-577-3011
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2018
Last Update Date : 11/10/2022

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Directions to “ SHWETA PATEL ” Practice Location

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