Doctor Name: | MANMOHAN PATEL |
NPI Number: | 1083639512 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | MA03560900 |
Business Practice Address: | Bldg #340 Newark Int'l Airport Suite 203 Newark, NJ - 07114 |
Business Phone Number: | 9735961200 |
Business Fax Number: | |
Mailing Address: | Po Box 11176, FAIRFIELD |
State: | NJ |
Postal Code: | 07004 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MA03560900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |