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Individual

DR. VINODRAY R SHAH

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
50 HILLTOP RD, LONGMEADOW, MA 01106-1634
(413) 567-9681
Mailing address
1221 MAIN ST, SUITE 204, HOLYOKE, MA 01040-5396
(413) 532-0464
(413) 532-7652

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
47114
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0144894
MA
Enumeration date
10/24/2005
Last updated
11/10/2015
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