Individual
DR. SAMIR DILIP SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
123 NEWTON SPARTA RD, NEWTON, NJ 07860-2769
(973) 579-6300
(973) 579-1524
Mailing address
123 NEWTON SPARTA RD, NEWTON, NJ 07860-2769
(973) 579-6300
(973) 579-1524
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
25MA07085600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8220808
—
NJ
Enumeration date
12/30/2005
Last updated
02/06/2017
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