Organization
FAMILY MEDICINE OF EAST BRUSNWICK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIKAS SHAH DO (OWNER)
(732) 947-6805
Entity
Organization
Contact information
Practice address
647 ROUTE 18 STE A, EAST BRUNSWICK, NJ 08816-3747
(732) 947-6805
Mailing address
14 HILLTOP BLVD, EAST BRUNSWICK, NJ 08816-2832
(732) 947-6805
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/11/2022
Last updated
10/20/2022
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