Individual
SANDEEP SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1906 PATERSON PLANK RD, APT #3A, NORTH BERGEN, NJ 07047-1902
(561) 389-0319
Mailing address
1906 PATERSON PLANK RD, APT #3A, NORTH BERGEN, NJ 07047-1902
(561) 389-0319
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA09103700
NJ
208M00000X
Hospitalist Physician
Primary
25MA09103700
NJ
Other
Enumeration date
10/26/2011
Last updated
04/18/2019
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