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Individual

KEVIN SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
205 VINEYARD RD, EDISON, NJ 08817-4785
(732) 491-2023
Mailing address
164 SAINT PAULS AVE, JERSEY CITY, NJ 07306-2610
(201) 618-0821

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03513500
NJ

Other

Enumeration date
02/26/2019
Last updated
02/26/2019
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