Individual
DR. DEEPALI A SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O, MPH
Contact information
Practice address
1199 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052-1424
(973) 993-9536
Mailing address
55 MADISON AVE, SUITE 310, MORRISTOWN, NJ 07960-7337
(973) 993-9536
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MB08762400
NJ
208M00000X
Hospitalist Physician
Primary
25MB08762400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207R00000X
RESIDENT
IL
01
—
2MB08762400
NEW JERSEY DIVISION OF CONSUMER AFFAIRS
NJ
Enumeration date
11/05/2007
Last updated
08/21/2020
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