Individual
DR. DIVYA SHANBHOGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M D, MPH
Contact information
Practice address
355 GRAND ST, JERSEY CITY, NJ 07302-4321
(201) 915-2000
Mailing address
3 UNIVERSITY PLZ STE 205, HACKENSACK, NJ 07601-6208
(201) 423-3349
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA09973700
NJ
Other
Enumeration date
08/20/2015
Last updated
03/07/2023
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