Individual
DR. SHYAM A. SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
110 BERGEN ST RM B-854, NEWARK, NJ 07103-2495
(973) 972-4717
Mailing address
110 BERGEN ST RM B-854, NEWARK, NJ 07103-2495
(973) 972-4717
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02605700
NJ
Other
Enumeration date
06/05/2015
Last updated
11/14/2019
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