Individual
NITA K SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
767 NORTHFIELD AVE, WEST ORANGE, NJ 07052-1194
(973) 992-9022
(973) 992-9024
Mailing address
767 NORTHFIELD AVE, WEST ORANGE, NJ 07052-1194
(973) 992-9022
(973) 992-9024
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MAO6581600
NJ
207RN0300X
Nephrology Physician
Primary
MAO6581600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8336300
—
NJ
Enumeration date
01/25/2006
Last updated
08/22/2013
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