Individual
PUJA R SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
24 STEVENS ST, NORWALK, CT 06850-3852
(203) 852-2276
Mailing address
24 STEVENS ST, NORWALK, CT 06850-3852
(203) 852-2276
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
292070
NY
207L00000X
Anesthesiology Physician
55176
CT
207LP2900X
Pain Medicine (Anesthesiology) Physician
55176
CT
Other
Enumeration date
06/25/2011
Last updated
12/05/2018
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