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Organization
ELMWOOD FAMILY PHYSICIANS
Active
Organization
ELMWOOD FAMILY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HETAL S SHAH M.D. (OWNER/M.D.)
(856) 983-9939
Entity
Organization
Contact information
Practice address
777 ROUTE 70 EAST, SUITE G-101, MARLTON, NJ 08053-2345
(856) 983-9939
(856) 983-9936
Mailing address
777 ROUTE 70 EAST, SUITE G-101, MARLTON, NJ 08053-2345
(856) 983-9939
(856) 983-9936
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NJ
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0045021
—
NJ
Enumeration date
11/01/2006
Last updated
12/01/2014
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