Provider Demographics
NPI:1851046189
Name:CONVERY DOCTORS AND PT
Entity Type:Organization
Organization Name:CONVERY DOCTORS AND PT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMRISH
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-486-2062
Mailing Address - Street 1:1107 CONVERY BLVD STE 2
Mailing Address - Street 2:
Mailing Address - City:PERTH AMBOY
Mailing Address - State:NJ
Mailing Address - Zip Code:08861-1937
Mailing Address - Country:US
Mailing Address - Phone:732-486-2062
Mailing Address - Fax:732-486-2063
Practice Address - Street 1:1107 CONVERY BLVD STE 2
Practice Address - Street 2:
Practice Address - City:PERTH AMBOY
Practice Address - State:NJ
Practice Address - Zip Code:08861-1937
Practice Address - Country:US
Practice Address - Phone:732-486-2062
Practice Address - Fax:732-486-2063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-15
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty