Organization
MEDICAL EYE ASSOCIATES OF MT LAUREL PC
Active
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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