Individual
SRISHTI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1255 BROAD ST, CLIFTON, NJ 07013-3398
(973) 685-5920
(201) 604-7464
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB10110200
NJ
207Q00000X
Family Medicine Physician
289873
NY
Other
Enumeration date
07/10/2014
Last updated
10/24/2022
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