Individual
SHITAL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
89 SPARTA AVE., SUITE 120, SPARTA, NJ 07871-1777
(973) 729-0002
(973) 726-4456
Mailing address
2501 OREGON PK., SUITE 101, LANCASTER, PA 17601-4890
(717) 293-3223
(717) 390-2455
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
214028
MA
2085R0202X
Diagnostic Radiology Physician
Primary
25MA08249100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0188131
—
NJ
Enumeration date
06/16/2006
Last updated
05/05/2009
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