Individual
HEMANT SHAH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
237 CENTRAL AVE, JERSEY CITY, NJ 07307-3058
(201) 420-7373
(201) 795-0606
Mailing address
237 CENTRAL AVE, JERSEY CITY, NJ 07307-3058
(201) 420-7373
(201) 795-0606
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA039176
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0762008
—
NJ
Enumeration date
05/31/2006
Last updated
07/08/2007
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