Individual
AMANDA P SHUKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
316 MONASTERY PL STE A, UNION CITY, NJ 07087-4464
(201) 620-6166
Mailing address
18 AUTUMN DR, SCOTCH PLAINS, NJ 07076-2428
(908) 251-4319
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MB10259400
NJ
Other
Enumeration date
05/25/2015
Last updated
12/03/2025
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