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Individual

SHIVANI VANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1200 US HIGHWAY 22, BRIDGEWATER, NJ 08807-2943
(973) 376-6595
(973) 564-6092
Mailing address
7 LISZKA LN, SAYREVILLE, NJ 08872-1657
(732) 725-5726

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00464700
NJ

Other

Enumeration date
03/19/2018
Last updated
03/19/2018
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