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Individual

DR. MEHUL D. SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
210 MOUNTS CORNER DR, FREEHOLD, NJ 07728-2547
(877) 543-7823
Mailing address
1455 BROAD ST STE 250, BLOOMFIELD, NJ 07003-3066
(877) 532-7837

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
25MB09690700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0467260
NJ
Enumeration date
04/22/2010
Last updated
01/05/2026
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