Individual
SHIVANI AMIN SUBHEDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
750 BRUNSWICK AVE, TRENTON, NJ 08638-4143
(609) 394-6181
Mailing address
750 BRUNSWICK AVE, TRENTON, NJ 08638-4143
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00430900
NJ
363A00000X
Physician Assistant
MA058920
PA
363A00000X
Physician Assistant
OA004087
PA
Other
Enumeration date
03/09/2017
Last updated
03/19/2025
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