Organization
SHUKLA MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NILESH B SHUKLA MD (OWNER)
(201) 286-7400
Entity
Organization
Contact information
Practice address
1 W. RIDGEWOOD AVENUE, SUITE 203, PARAMUS, NJ 07652
(201) 652-8800
(201) 444-8560
Mailing address
P.O. BOX 932, GLEN ROCK, NJ 07452
(201) 652-8800
(201) 444-8560
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA07868700
NJ
Other
Enumeration date
03/05/2007
Last updated
03/21/2014
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