Individual
DEEPTI NISHIT SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.P.T
Contact information
Practice address
927 WILLOW AVE APT 5, HOBOKEN, NJ 07030-3029
(201) 774-0746
Mailing address
927 WILLOW AVE APT 5, HOBOKEN, NJ 07030-3029
(201) 774-0746
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
035892
NY
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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