Organization
ESSEX HEALTH CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DHARAMSI D SHAH (PRESIDENT)
(973) 266-2905
Entity
Organization
Contact information
Practice address
11 MOUNTAIN RIDGE DR, LIVINGSTON, NJ 07039-3408
(973) 266-2905
Mailing address
11 MOUNTAIN RIDGE DR, LIVINGSTON, NJ 07039-3408
(973) 266-2905
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
25MA03373200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2970104
—
NJ
05
—
4946103
—
NJ
Enumeration date
04/18/2007
Last updated
04/24/2009
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