Individual
DR. PANKAJ H SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
275 HOBART ST, PERTH AMBOY, NJ 08861-3396
(732) 376-9333
Mailing address
PO BOX 1220, ATTN: CREDENTIALING/HR, PERTH AMBOY, NJ 08862-1220
(732) 376-9333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02423700
NJ
Other
Enumeration date
03/15/2007
Last updated
01/09/2020
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