Individual
ANUP SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
693 MAIN ST BUILDING A STE 2, LUMBERTON, NJ 08048-5043
(609) 265-1700
(609) 265-8146
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(609) 265-1700
(609) 265-8146
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA11384000
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0838195
—
NJ
Enumeration date
04/20/2016
Last updated
12/17/2024
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