Organization
RAJAN SHAH MD PA
Active
Organization
RAJAN SHAH MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJAN S SHAH MD (PRESIDENT)
(973) 642-0280
Entity
Organization
Contact information
Practice address
1060 BROAD ST, NEWARK, NJ 07102-2397
(973) 642-0280
(973) 642-0047
Mailing address
95 FALCON RD, LIVINGSTON, NJ 07039-4427
(973) 642-0280
(973) 642-0047
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MA40413
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0560901
—
NJ
Enumeration date
09/11/2007
Last updated
09/11/2007
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