Individual
KINJAL SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
117 RITTENHOUSE DR, DEPTFORD, NJ 08096-5111
(856) 516-5600
Mailing address
117 RITTENHOUSE DR, DEPTFORD, NJ 08096-5111
(856) 516-5600
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
038392-1
NY
Other
Enumeration date
12/20/2014
Last updated
12/20/2014
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