Individual
DR. FORAM SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1515 ROUTE 22 W, WATCHUNG, NJ 07069-6509
(973) 769-9548
Mailing address
1515 US HIGHWAY 22 W, WATCHUNG, NJ 07069-6509
(908) 546-4404
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00685500
NJ
Other
Enumeration date
04/08/2019
Last updated
12/06/2019
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