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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