Individual
SANJAYKUMAR SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
310 CENTRAL AVENUE, SUITE 102, EAST ORANGE, NJ 07018
(973) 395-1550
(973) 395-1556
Mailing address
21 EDGEWOOD ROAD, SUMMIT, NJ 07901
(973) 395-1550
(973) 395-1556
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00228100
NJ
Other
Enumeration date
09/07/2009
Last updated
04/22/2019
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