Individual
DR. MANAN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
41 WILSON AVE, SUITE 2D, NEWARK, NJ 07105
(973) 589-7337
Mailing address
104 FOLTIM WAY, CONGERS, NY 10920-1424
(845) 267-8669
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA11135300
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/08/2016
Last updated
03/17/2022
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