Individual
DR. SAMIR ASHOK SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
3069 ENGLISH CREEK AVE, STE 101, EGG HARBOR TOWNSHIP, NJ 08234-9708
(609) 646-8443
(609) 646-2758
Mailing address
3069 ENGLISH CREEK AVE, STE 101, EGG HARBOR TOWNSHIP, NJ 08234-9708
(609) 646-8443
(609) 646-2758
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
22DI02384600
NJ
Other
Enumeration date
10/01/2008
Last updated
03/05/2014
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