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Individual

SHANI TAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(551) 587-0824
Mailing address
703 MAIN ST, PATERSON, NJ 07503-2621

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA12392500
NJ
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/23/2022
Last updated
05/08/2025
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