Individual
RUCHI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS, PA-C
Contact information
Practice address
19 DAVIS AVE, NEPTUNE, NJ 07753-4488
(732) 212-6598
Mailing address
8421 NEWKIRK AVE, NORTH BERGEN, NJ 07047-4348
(201) 618-0857
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00550700
NJ
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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