MEDICARE: ROSHNI PATEL PA-C

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	363A00000X	Physician Assistant	MA062790	PA

General Provider Information

NPI Number	:	1548927536
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSHNI PATEL PA-C

Provider Business Mailing Address
First Line	:	127 LOUIS DR
Second Line	:
City	:	VINELAND
State	:	NJ
Zip	:	08360-2551
Country	:	US
Telephone Number	:	609-774-7659
Fax Number	:

Provider Business Practice Location Address
First Line	:	606 E MARSHALL ST
Second Line	:
City	:	WEST CHESTER
State	:	PA
Zip	:	19380-4452
Country	:	US
Telephone Number	:	610-436-8440
Fax Number	:

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

Provider Enumeration Date	:	11/24/2021
Last Update Date	:	06/29/2023

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Directions to “ ROSHNI PATEL PA-C” Practice Location

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