Individual
DR. IZZAT H SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1121 ROUTE 22 STE 201, BRIDGEWATER, NJ 08807
(908) 237-4110
Mailing address
1100 WESCOTT DR STE G3, FLEMINGTON, NJ 08822-4600
(908) 788-1710
(908) 788-1716
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA06570100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0294799
—
NJ
Enumeration date
09/25/2006
Last updated
02/21/2019
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