Provider Demographics
NPI:1730310509
Name:PATEL, PURVEE (MD)
Entity Type:Individual
Prefix:
First Name:PURVEE
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:128 COLUMBIA TPKE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932-2283
Mailing Address - Country:US
Mailing Address - Phone:973-377-9366
Mailing Address - Fax:973-377-9329
Practice Address - Street 1:128 COLUMBIA TPKE
Practice Address - Street 2:SUITE 101
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932-2283
Practice Address - Country:US
Practice Address - Phone:973-377-9366
Practice Address - Fax:973-377-9329
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-28
Last Update Date:2016-11-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA09143700207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine