Provider Demographics
NPI:1588735625
Name:PATEL, JHULI R (PA-C)
Entity type:Individual
Prefix:
First Name:JHULI
Middle Name:R
Last Name:PATEL
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2480 STATEHWY 27
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902
Mailing Address - Country:US
Mailing Address - Phone:732-821-0011
Mailing Address - Fax:732-821-2998
Practice Address - Street 1:2480 STATE HWY 27
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-1020
Practice Address - Country:US
Practice Address - Phone:732-821-0011
Practice Address - Fax:732-821-2998
Is Sole Proprietor?:No
Enumeration Date:2006-11-12
Last Update Date:2009-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL85002888363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant