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Organization

BEHAVIORAL HEALTH SERVICES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KOMAL SAURABH SHAH M.D. (PSYCHIATRIST)
(732) 735-5898
Entity
Organization

Contact information

Practice address
45 HARTLANDER ST, EAST BRUNSWICK, NJ 08816-2668
(732) 735-5898
(732) 613-7197
Mailing address
45 HARTLANDER ST, EAST BRUNSWICK, NJ 08816-2668
(732) 735-5898
(732) 613-7197

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MA072314
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1942388228
NPI
NJ
Enumeration date
10/17/2007
Last updated
10/17/2007
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