Individual
DR. PURVI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
775 ROUTE 1 STE 13, EDISON, NJ 08817-4681
(732) 623-2129
(732) 572-3087
Mailing address
5 AMHERST CT, NORTH BRUNSWICK, NJ 08902-4559
(732) 763-9550
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00677100
NJ
Other
Enumeration date
11/25/2017
Last updated
04/19/2018
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