Individual
RADHIKA SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 BERGEN ST, NEWARK, NJ 07103-2496
(862) 324-1581
Mailing address
150 BERGEN ST, NEWARK, NJ 07103-2496
(862) 324-1581
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A1865457
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2019
Last updated
08/30/2024
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