Organization
DARSHAN J SHAH MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARSHAN J SHAH MD (MEMBER)
(860) 763-0208
Entity
Organization
Contact information
Practice address
139 HAZARD AVE BLDG 4, ENFIELD, CT 06082-4583
(860) 763-0208
Mailing address
47 E MAIN ST, STAFFORD SPRINGS, CT 06076-1227
(860) 684-5871
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
038479
CT
Other
Enumeration date
10/01/2009
Last updated
10/01/2009
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