Individual
JAYSHREE SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
(908) 790-6524
Mailing address
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
(908) 790-6524
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ00050700
NJ
363L00000X
Nurse Practitioner
Primary
26NO12162200
NJ
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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