Individual
DR. MEHUL N SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
116 MILLBURN AVE, SUITE 214, MILLBURN, NJ 07041
(973) 378-2121
(973) 467-0150
Mailing address
128 HARTSHORN DR, SHORT HILLS, NJ 07078-1613
(973) 378-2121
(973) 467-0150
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA04839600
NJ
207RG0100X
Gastroenterology Physician
Primary
25MA04839600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4590007
—
NJ
Enumeration date
12/13/2006
Last updated
06/25/2014
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