Provider Demographics
NPI:1518140367
Name:PATEL, MINESH (PAC)
Entity Type:Individual
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First Name:MINESH
Middle Name:
Last Name:PATEL
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Gender:M
Credentials:PAC
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Mailing Address - Street 1:1117 ROUTE 46 STE 206
Mailing Address - Street 2:GARDEN STATE PAIN CONTROL CENTER
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-2450
Mailing Address - Country:US
Mailing Address - Phone:973-777-5444
Mailing Address - Fax:973-777-0304
Practice Address - Street 1:1117 ROUTE 46 STE 206
Practice Address - Street 2:GARDEN STATE PAIN CONTROL CENTER
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-2450
Practice Address - Country:US
Practice Address - Phone:973-777-5444
Practice Address - Fax:973-777-0304
Is Sole Proprietor?:No
Enumeration Date:2007-12-14
Last Update Date:2009-09-24
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Provider Licenses
StateLicense IDTaxonomies
NJ25MP00152700363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical