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Organization
SUMMIT MEDICAL ARTS ASSOCIATES, LLC
Active
Organization
SUMMIT MEDICAL ARTS ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAMALESH SHAH M.D. (OWNER)
(201) 453-2800
Entity
Organization
Contact information
Practice address
9225 KENNEDY BLVD, NORTH BERGEN, NJ 07047-5361
(201) 453-2800
(201) 453-0182
Mailing address
9225 KENNEDY BLVD, NORTH BERGEN, NJ 07047-5361
(201) 453-2800
(201) 453-0182
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA05689400
NJ
207RC0000X
Cardiovascular Disease Physician
25MA3560900
NJ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25MA05689400
NJ
207RP1001X
Pulmonary Disease Physician
25MA3560900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0035793
—
NJ
Enumeration date
09/29/2006
Last updated
11/30/2016
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