Basic Information
| Provider Information | |||||||||
| NPI: | 1740727411 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PATEL | ||||||||
| FirstName: | GARGI | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 HARMON PLZ FL 10 | ||||||||
| Address2: | |||||||||
| City: | SECAUCUS | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 070942803 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5512577030 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1000 ROUTE 9 N STE 200 | ||||||||
| Address2: | |||||||||
| City: | WOODBRIDGE | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 070951200 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7322833040 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/19/2017 | ||||||||
| LastUpdateDate: | 11/12/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/12/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207K00000X | 25MA10647400 | NJ | Y | Allopathic & Osteopathic Physicians | Allergy & Immunology |
No ID Information.