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Individual

SHIVANI S SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-6946
Mailing address
125 PATERSON ST, NEW BRUNSWICK, NJ 08901-1962
(732) 235-7883
(732) 235-6609

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MB10814400
NJ
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
323955-01
NY

Other

Enumeration date
02/09/2018
Last updated
09/12/2023
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