Provider Demographics
NPI:1306098827
Name:PATEL, AMIT A (MD)
Entity type:Individual
Prefix:
First Name:AMIT
Middle Name:A
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:629 CRANBURY RD FL 2
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-4096
Mailing Address - Country:US
Mailing Address - Phone:732-390-7750
Mailing Address - Fax:732-390-7725
Practice Address - Street 1:1 EXCHANGE PL FL 1
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-3921
Practice Address - Country:US
Practice Address - Phone:201-333-8248
Practice Address - Fax:201-333-8469
Is Sole Proprietor?:No
Enumeration Date:2008-10-15
Last Update Date:2023-08-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA09118900207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0296627Medicaid
NJ0296627Medicaid