Provider Demographics
NPI:1639255268
Name:PATEL, SAUMIN (PT)
Entity type:Individual
Prefix:
First Name:SAUMIN
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 EDISON GLEN TER
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08837-2937
Mailing Address - Country:US
Mailing Address - Phone:908-338-0351
Mailing Address - Fax:
Practice Address - Street 1:67 WEST PROSPECT ST
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-2118
Practice Address - Country:US
Practice Address - Phone:732-613-6000
Practice Address - Fax:732-613-6007
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3940378OtherAETNA
NJ3940378OtherAETNA