Organization
SHREYA MEHTA DPM, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHREYA MEHTA DPM (PHYSICIAN)
(917) 865-2476
Entity
Organization
Contact information
Practice address
350 BLOOMFIELD AVE STE 1, BLOOMFIELD, NJ 07003-4852
(917) 865-2476
Mailing address
379 PARK ST, UPPER MONTCLAIR, NJ 07043-2239
(917) 865-2476
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00264000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8537101
—
NJ
Enumeration date
09/27/2006
Last updated
08/22/2020
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