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Organization
JAY H AND VIJAYA J SHAH MD
Active
Organization
JAY H AND VIJAYA J SHAH MD
Active
Parent organization
JAY H AND VIJAYA J SHAH MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
JAY H AND VIJAYA J SHAH MD
Authorized official
JAY H SHAH MD (PHYSICIAN-OWNER)
(215) 322-9292
Entity
Organization
Contact information
Practice address
2562 KNIGHTS RD, BENSALEM, PA 19020-3400
(215) 244-6363
(215) 244-6365
Mailing address
862 SECOND STREET PIKE, RICHBORO, PA 18954-1005
(215) 322-9292
(215) 322-4394
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008385670005
—
PA
05
—
0010343440006
—
PA
01
—
0423947002
IBC-HMO
PA
01
—
1017977
KEY STONE MERCY-PA
PA
Enumeration date
04/08/2006
Last updated
12/20/2007
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