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Individual

SANJNA S SHAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
300 2ND AVE, LONG BRANCH, NJ 07740-6303
(732) 222-5200
Mailing address
300 2ND AVE, LONG BRANCH, NJ 07740-6303
(732) 222-5200

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD458197
OH
208M00000X
Hospitalist Physician
25MA10288700
NJ

Other

Enumeration date
03/23/2013
Last updated
02/20/2019
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