| NPI | 1538432786 |
|---|---|
| Former Legal Business Name | SOUTH ORANGE AVE MEDICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | CHIRAG D PATEL President 973-699-7505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2025-06-02 |