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Organization

LOTUS HEALTHCARE LLC

Active
Other names
Lotus Pediatrics
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MANAN SHAH MD (AUTHORIZED REPRESENTATIVE)
(845) 269-2532
Entity
Organization

Contact information

Practice address
271 S NEW PROSPECT RD UNIT 104B, JACKSON, NJ 08527-1763
(845) 269-2532
Mailing address
24 GLYNN CT, PARLIN, NJ 08859-2501

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
04/03/2023
Last updated
04/03/2023
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