Individual
MRS. SHRUTI V JHAVERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 EAGLE AVE, OCEAN, NJ 07712-7631
(732) 660-6200
Mailing address
48 HEMAN ST, EDISON, NJ 08837-3059
(732) 910-9504
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00138900
NJ
Other
Enumeration date
01/18/2011
Last updated
04/03/2012
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