Individual
RENU SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
890 MOUNTAIN AVE, NEW PROVIDENCE, NJ 07974-1218
(908) 277-8682
(908) 277-8694
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00640800
NJ
Other
Enumeration date
07/12/2012
Last updated
06/21/2024
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