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Contact Information

SAMIR PATEL, MD
266 KING GEORGE RD
SUITE D
WARREN, NJ07059-5120
 Phone: 908-626-1776
 Fax: 908-626-0776
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SAMIR PATEL · (Male)

NPI Number 1407954548
Status Active
Credentials MD
Entity Individual
Enumeration date 09/20/2006
Last updated 03/09/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # MA07446700
  • NJ Medicaid 25321
  • Other 60001670 HORIZON NJ HEALTH
  • Other 25512 UNIVERSITY HEALTH PLAN
Hospital affiliation(s)
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
  • OVERLOOK HOSPITAL - (Acute Care)
    99 BEAUVOIR AVENUE
    SUMMIT, NJ 07902
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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