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Individual

ASU SHAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1604 MADALINE DR, AVENEL, NJ 07001-1373
(201) 798-0558
Mailing address
1604 MADALINE DR, AVENEL, NJ 07001-1373

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03481500
NJ

Other

Enumeration date
08/22/2014
Last updated
08/22/2014
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