Provider Demographics
NPI:1386767564
Name:OAK TREE PATIENT CARE PC
Entity type:Organization
Organization Name:OAK TREE PATIENT CARE PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SOLO PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:PANKAJKUMAR
Authorized Official - Middle Name:V
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-516-1244
Mailing Address - Street 1:1920 OAK TREE RD STE 201
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-2132
Mailing Address - Country:US
Mailing Address - Phone:732-516-1244
Mailing Address - Fax:732-516-1255
Practice Address - Street 1:1920 OAK TREE RD STE 201
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-2132
Practice Address - Country:US
Practice Address - Phone:732-516-1244
Practice Address - Fax:732-516-1255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty