Individual
SUKETU SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4 PROGRESS ST, SUITE B6, EDISON, NJ 08820-1199
(908) 222-2658
Mailing address
77 BRANT AVENUE, SUITE 200, CLARK, NJ 07066-1540
(732) 382-0091
(732) 382-8570
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
25MA08095100
NJ
Other
Enumeration date
07/07/2006
Last updated
07/13/2007
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