Ashok Patel MD PC

Organization Active NPI Internal Medicine Physician · Runnemede, NJ

NPI 1124037825 · NPPES record last updated Jul 22, 2011

Key facts

NPI
1124037825
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
License
25MA044698000 (NJ)
Legal business name
ASHOK PATEL MD PC
Practice address
300 S Black Horse Pike
Runnemede, NJ 08078-1904
Phone
(856) 939-6400
Fax
(555) 555-5555
NPI assigned
Aug 5, 2006
Organization subpart
No

Authorized official

Name
Ashok Patel, MD
Title
Physician
Phone
(856) 939-6400

National Provider Directory

Locations

300 S Black Horse Pike
Runnemede, NJ 08078
Phone (609) 931-3060

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207R00000X 25MA044698000 NJ Yes

Addresses

Primary practice location

300 S Black Horse Pike
Runnemede, NJ 08078-1904

Mailing address

300 S Black Horse Pike
Runnemede, NJ 08078-1904
Phone (856) 939-6400

Other identifiers

IdentifierTypeStateIssuer
122570701MedicaidNJ

Other providers in Runnemede, NJ

All providers in Runnemede, NJ · Internal Medicine Physician in New Jersey

Sources for this page

Verify at the official NPI Registry.