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Organization
ADVANCED INTERNAL MEDICINE AND SLEEP WELLNESS CLINIC
Active
Organization
ADVANCED INTERNAL MEDICINE AND SLEEP WELLNESS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BANKIM SHAH MD (PHYSICIAN/ DIRECTOR)
(973) 281-2420
Entity
Organization
Contact information
Practice address
2066 MILLBURN AVE, MAPLEWOOD, NJ 07040-3727
(973) 281-2420
Mailing address
5 PATRICK CT, BOONTON, NJ 07005-9051
(973) 281-2420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
NULL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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