Doctor Name: | MS. KAVITA PATEL |
NPI Number: | 1518303684 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | A.P.N. |
License Number: | 26NJ00436700 |
Business Practice Address: | 3242 Route 206 Bldg A Bordentown, NJ - 085054517 |
Business Phone Number: | 6092984340 |
Business Fax Number: | |
Mailing Address: | 1316 Cheltenham Dr, BENSALEM |
State: | PA |
Postal Code: | 190204380 |
Phone Number: | 2675664631 |
Fax Number: | |
NPI Enumeration Date: | 05/16/2013 |
NPI Last Update Date: | 05/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 26NJ00436700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |