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Shivam R Patel, DO
Student in an Organized Health Care Education/Training Program in Newark, New Jersey
NPI 1770106114

Shivam R Patel is a Student in an Organized Health Care Education/Training Program based in Newark, NJ. Shivam R Patel practices in Newark, NJ and has the professional credentials of DO. The NPI Number for Shivam R Patel is 1770106114 and holds a License No. OT020202 (New Jersey).

The current practice location address for Shivam R Patel is 185 S Orange Ave Rm 547, Newark, NJ and can be reached out via phone at 856-264-9712.

Location: 185 S Orange Ave Rm 547, Newark, NJ, 07103-2757
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770106114
Provider Name
Shivam R Patel
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
185 S Orange Ave Rm 547, Newark, NJ, 07103-2757
Phone Number
856-264-9712
Fax Number
Provider Enumeration Date
05/20/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
185 S Orange Ave Rm 547
City
Newark
State
New Jersey
Zip
07103
Phone Number
856-264-9712
Fax Number
person
Provider Business Mailing Address Details
Address
185 S Orange Ave Rm 547
City
Newark
State
New Jersey
Zip
07103
Phone Number
856-264-9712
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
OT020202 (Pennsylvania)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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