Individual
RADHIKA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 N 8TH ST, PROSPECT PARK, NJ 07508-2002
(973) 942-2131
Mailing address
240 N 8TH ST, PROSPECT PARK, NJ 07508-2002
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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