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Individual

DR. SHAI GAVI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
100 MADISON AVE, MORRISTOWN, NJ 07960-6136
(973) 971-7135
(973) 290-8349
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(973) 656-6280
(973) 290-7495

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MB09478900
NJ
208M00000X
Hospitalist Physician
Primary
25MB09478900
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02208446
NY
01
339AH1
EMPIRE BC.BS
NY
01
7370667
AETNA
NY
Enumeration date
07/14/2006
Last updated
11/01/2021
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