Organization
UNION CHILD & ADOLESCENT PSYCHIATRY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. INDIRA SHAH MD (MD)
(917) 678-6319
Entity
Organization
Contact information
Practice address
33 UPPER OVERLOOK ROAD, 210, SUMMIT, NJ 07910
(908) 598-0390
Mailing address
40 PINEWOOD CRES, BERKELEY HEIGHTS, NJ 07922-2144
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
25MA08626200
NJ
Other
Enumeration date
09/23/2015
Last updated
11/05/2015
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