Organization
SHETAL MANSURIA, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHETAL MANSURIA M.D. (PROVIDER)
(973) 535-3800
Entity
Organization
Contact information
Practice address
22 OLD SHORT HILLS RD, SUITE 210, LIVINGSTON, NJ 07039-5604
(973) 535-3800
(973) 535-3808
Mailing address
PO BOX 2107, LIVINGSTON, NJ 07039-7707
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
NJMA71413
NJ
Other
Enumeration date
02/18/2013
Last updated
02/18/2013
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