Individual
MRS. SHRIDEVI NAVINCHANDRA PANDYA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
53 HARTLANDER ST, EAST BRUNSWICK, NJ 08816-2668
(973) 972-5255
Mailing address
53 HARTLANDER ST, EAST BRUNSWICK, NJ 08816-2668
(973) 972-5255
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA07521400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0003646
—
NJ
05
—
02666695
—
NY
Enumeration date
11/21/2005
Last updated
01/26/2011
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