Provider Demographics
NPI:1831365337
Name:PATEL, HARSHA (DC)
Entity type:Individual
Prefix:DR
First Name:HARSHA
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:329 BELLEVILLE AVE
Mailing Address - Street 2:2ND FLOOR, SOUTH
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07003-3600
Mailing Address - Country:US
Mailing Address - Phone:201-744-7002
Mailing Address - Fax:201-744-7009
Practice Address - Street 1:329 BELLEVILLE AVE
Practice Address - Street 2:2ND FLOOR SOUTH
Practice Address - City:BLOOMFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07003-3600
Practice Address - Country:US
Practice Address - Phone:201-744-7002
Practice Address - Fax:973-744-7009
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-05
Last Update Date:2016-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00605900111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor