Individual
MAYA MEHUL SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
201 LYONS AVE, AVE, NEWARK, NJ 07112-2027
(973) 926-7230
(973) 926-9568
Mailing address
90 FARBROOK DR, SHORT HILLS, NJ 07078-3007
(973) 376-5042
(973) 376-0366
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MA057717
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6245307
—
NJ
Enumeration date
09/25/2006
Last updated
07/08/2007
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