Individual
MRS. BHAIRAVI SAGAR SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
40 UNION AVE STE 101, IRVINGTON, NJ 07111-3290
(973) 371-3166
(973) 371-3266
Mailing address
PO BOX 178, COLONIA, NJ 07067-0178
(973) 371-3166
(973) 371-3266
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
972682
NJ
Other
Enumeration date
12/22/2009
Last updated
12/22/2009
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