Organization
REVIVE RHEUMATOLOGY OF NORTH JERSEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAZIA SHADANI DO (PHYSICIAN)
(772) 971-5848
Entity
Organization
Contact information
Practice address
100 WILLOWBROOK CT, PARAMUS, NJ 07652-1833
(772) 971-5848
Mailing address
100 WILLOWBROOK CT, PARAMUS, NJ 07652-1833
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Enumeration date
04/29/2019
Last updated
10/22/2019
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