Organization
MEDICAL EYE ASSOCIATES OF MT LAUREL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHIRAG SHAH M.D. (PRESIDENT/OWNER)
(609) 649-8500
Entity
Organization
Contact information
Practice address
303 FELLOWSHIP RD, SUITE 100, MOUNT LAUREL, NJ 08054-1212
(856) 234-4590
(856) 231-9963
Mailing address
7840 MONTGOMERY RD, CINCINNATI, OH 45236-4301
(513) 354-5808
(513) 354-5774
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA07384800
NJ
Other
Enumeration date
04/09/2012
Last updated
04/19/2012
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