Provider Demographics
NPI:1013496884
Name:PATEL, SNEHA ANGIE
Entity Type:Individual
Prefix:
First Name:SNEHA
Middle Name:ANGIE
Last Name:PATEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 RALPH ST
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-3116
Mailing Address - Country:US
Mailing Address - Phone:973-876-4303
Mailing Address - Fax:
Practice Address - Street 1:375 RALPH ST
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-3116
Practice Address - Country:US
Practice Address - Phone:973-876-4303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-12
Last Update Date:2018-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities