Individual
MISS RUPALI PRADIP SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
201 LYONS AVE, DEPT OF CARDIOTHORACIC SURGERY- G5, NEWARK, NJ 07112-2027
(973) 926-8032
(973) 923-4683
Mailing address
201 LYONS AVE, DEPT OF CARDIOTHORACIC SURGERY- G5, NEWARK, NJ 07112-2027
(973) 926-8032
(973) 923-4683
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00118000
NJ
Other
Enumeration date
10/03/2007
Last updated
10/03/2007
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