Individual
DR. NISHA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
750 S WHITE HORSE PIKE, HAMMONTON, NJ 08037-2000
(609) 567-0606
(609) 567-0606
Mailing address
750 S WHITE HORSE PIKE, HAMMONTON, NJ 08037-2000
(609) 567-0606
(609) 567-2509
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00319900
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
25MD00319900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0736309
—
NJ
01
—
1346659802
INDIVIDUAL NPI
NJ
01
—
7820240002
DMERC
NJ
Enumeration date
08/10/2014
Last updated
08/09/2022
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