# AJIT M. SHAH, MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508283862
- **Authorized official:** AJIT M SHAH MD (OWNER)
- **Authorized official phone:** (973) 568-6660

## Contact information

- **Practice address:** 201 ROUTE 17, RUTHERFORD, NJ 07070-2574
- **Practice address phone:** (201) 549-8890
- **Mailing address:** 201 ROUTE 17, RUTHERFORD, NJ 07070-2574

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MA02998200 | NJ | Yes |

## Other

- **Enumeration date:** 03/25/2014
- **Last updated:** 03/25/2014