Individual
DR. MAYURI N SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 PROSPECT AVE, PEDIATRICS DEPT, HACKENSACK, NJ 07601-1914
(201) 996-2977
Mailing address
30 PROSPECT AVE, PEDIATRICS DEPT, HACKENSACK, NJ 07601-1914
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA03754100
NJ
Other
Enumeration date
06/21/2006
Last updated
07/08/2007
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