MEDICARE: NEHA PATEL MSPT

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
1	225100000X	Physical Therapist	40QA00870900	NJ

General Provider Information

NPI Number	:	1447348644
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEHA PATEL MSPT

Provider Business Mailing Address
First Line	:	11 EAGLE ROCK AVE
Second Line	:	SUITE 201
City	:	EAST HANOVER
State	:	NJ
Zip	:	07936-3167
Country	:	US
Telephone Number	:	973-887-9000
Fax Number	:	973-887-3816

Provider Business Practice Location Address
First Line	:	70 HUDSON ST
Second Line	:	SUITE 2A
City	:	HOBOKEN
State	:	NJ
Zip	:	07030-5630
Country	:	US
Telephone Number	:	201-533-8111
Fax Number	:	201-533-8110

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	01/30/2012

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Directions to “ NEHA PATEL MSPT” Practice Location

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