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Individual

DR. SATYAM ASHVINKUMAR SHAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
1 COOPER PLZ, CAMDEN, NJ 08103
(856) 342-2000
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA09364900
NJ
208M00000X
Hospitalist Physician
Primary
25MA09364900
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0389668
NJ
Enumeration date
06/03/2008
Last updated
10/18/2020
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