Organization
NIMISHA SHUKLA, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIMISHA J SHUKLA M.D. (OWNER)
(732) 548-3210
Entity
Organization
Contact information
Practice address
1802 OAK TREE RD, SUITE # 101, EDISON, NJ 08820-2704
(732) 548-3210
(732) 906-3966
Mailing address
1802 OAK TREE RD, SUITE # 101, EDISON, NJ 08820-2704
(732) 548-3210
(732) 906-3966
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA06753200
NJ
Other
Enumeration date
03/14/2013
Last updated
03/14/2013
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