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Individual

DR. SUNIL CHANDRA SHAH

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M,D

Contact information

Practice address
52 13TH AVE, PATERSON, NJ 07504-1544
(073) 278-9023
(973) 977-6761
Mailing address
16 GATHERING ROAD, PINEBROOK, NJ 07058
(973) 278-9023
(973) 977-6761

Taxonomy

Speciality
Code
Description
License number
State
207YX0602X
Otolaryngic Allergy Physician
Primary
29587
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2945509
NJ
Enumeration date
06/01/2006
Last updated
07/08/2007
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