Individual
DIPTI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 HUNTINGDON MEWS, CLEMENTON, NJ 08021-5649
(856) 308-2974
Mailing address
501 FELLOWSHIP RD, MOUNT LAUREL, NJ 08054-3419
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F10230389
NJ
Other
Enumeration date
01/03/2024
Last updated
01/31/2024
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