Individual
PURVIBEN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
175 MADISON AVE, MOUNT HOLLY, NJ 08060-2038
(609) 261-7486
(609) 914-6182
Mailing address
3 KNIGHTSBRIDGE PL, JACKSON, NJ 08527-1271
(609) 713-8509
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA08773800
NJ
208M00000X
Hospitalist Physician
25MA08773800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0238775
—
NJ
Enumeration date
08/04/2010
Last updated
10/15/2024
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