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Individual
ROSHAN SHAH
Active
Individual
ROSHAN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MB10867800
NJ
207R00000X
Internal Medicine Physician
LP03610
RI
Other
Enumeration date
03/15/2016
Last updated
12/14/2021
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