Doctor Name: | TUSHAR C PATEL |
NPI Number: | 1861566606 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 51540 |
Business Practice Address: | 1155 Purchase St New Bedford, MA - 02740 |
Business Phone Number: | 5089972900 |
Business Fax Number: | 5089914432 |
Mailing Address: | 459 Plymouth Ave, FALL RIVER |
State: | MA |
Postal Code: | 02721 |
Phone Number: | 5086790010 |
Fax Number: | 5086724679 |
NPI Enumeration Date: | 11/20/2006 |
NPI Last Update Date: | 12/05/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 51540 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |