Organization
ADVANCED INTERNAL MEDICINE AND SLEEP WELLNESS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BANKIM SHAH MD (PHYSICIAN/ DIRECTOR)
(973) 281-2420
Entity
Organization
Contact information
Practice address
2066 MILLBURN AVE, MAPLEWOOD, NJ 07040-3727
(973) 281-2420
Mailing address
5 PATRICK CT, BOONTON, NJ 07005-9051
(973) 281-2420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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