Organization
DR PRITESH J SHAH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRITESH J SHAH M.D. (DR)
(201) 358-0400
Entity
Organization
Contact information
Practice address
354 OLD HOOK RD, SUITE 102, WESTWOOD, NJ 07675-3246
(201) 358-0400
Mailing address
354 OLD HOOK RD, SUITE 102, WESTWOOD, NJ 07675-3246
(201) 358-0400
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
52090
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01805650
—
NY
05
—
6751806
—
NJ
Enumeration date
07/21/2006
Last updated
05/14/2009
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