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Organization

ESSEX DIGESTIVE HEALTHCARE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AMOL SHAH MD (OWNER)
(973) 634-2184
Entity
Organization

Contact information

Practice address
2060 MILLBURN AVE, MAPLEWOOD, NJ 07040-3713
(973) 642-3155
(973) 642-0047
Mailing address
92 W MCCLELLAN AVE, LIVINGSTON, NJ 07039-1245
(973) 642-3155
(973) 642-0047

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1912347030
NJ
Enumeration date
09/16/2021
Last updated
06/15/2023
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