Individual
SHAFALI MAHIDADIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
196 PRINCETON HIGHTSTOWN RD, WEST WINDSOR, NJ 08550-1672
(609) 799-5510
Mailing address
196 PRINCETON HIGHTSTOWN RD, WEST WINDSOR, NJ 08550-1672
(609) 799-5510
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA12205600
NJ
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/09/2021
Last updated
02/26/2025
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