MEDICARE: MANISH PATEL MD PC

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	207R00000X	Internal Medicine Physician	MA074156	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801055447
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MANISH PATEL MD PC

Provider Business Mailing Address
First Line	:	306 MAPLE HILL DR
Second Line	:
City	:	WOODBRIDGE
State	:	NJ
Zip	:	07095-4104
Country	:	US
Telephone Number	:	908-994-1044
Fax Number	:

Provider Business Practice Location Address
First Line	:	520 WESTFIELD AVE
Second Line	:	SUITE 306
City	:	ELIZABETH
State	:	NJ
Zip	:	07208-1658
Country	:	US
Telephone Number	:	908-994-1044
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MANISH S PATEL
Credential	:	MD
Telephone Number	:	908-994-1044

Provider Enumeration Date	:	06/09/2008
Last Update Date	:	09/27/2011

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Directions to “MANISH PATEL MD PC ” Practice Location

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