Individual
DHAVAL D SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
87 SUMMIT AVE, HACKENSACK, NJ 07601-1262
(201) 489-0022
(201) 489-6991
Mailing address
87 SUMMIT AVE, HACKENSACK, NJ 07601-1262
(201) 489-0022
(201) 489-6991
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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