# PANKAJ SHIROLAWALA MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dr. Pankaj Shirolawala MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013103712
- **Authorized official:** PANKAJ R SHIROLAWALA MD (PHYSICIAN - SINGLE OWNER - LLC)
- **Authorized official phone:** (732) 442-2211

## Contact information

- **Practice address:** 609 AMBOY AVE STE 101, PERTH AMBOY, NJ 08861-2577
- **Practice address phone:** (732) 442-2211
- **Practice address fax:** (732) 326-0517
- **Mailing address:** 61 ARIZONA AVE, OLD BRIDGE, NJ 08857-4317
- **Mailing address phone:** (732) 442-2211
- **Mailing address fax:** (732) 326-0517

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MA07849500 | NJ | Yes |

## Other

- **Enumeration date:** 09/18/2007
- **Last updated:** 12/27/2022