Individual
JAY SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
557 BROADWAY, BAYONNE, NJ 07002-3829
(201) 455-8200
Mailing address
3032 EDWARD STEC BLVD, EDISON, NJ 08837-7014
(201) 855-6603
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03416300
NJ
Other
Enumeration date
04/07/2011
Last updated
06/01/2016
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