Individual
AMIT SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2317 CENTER ISLAND, ROUTE 22, UNION, NJ 07083
(201) 354-1951
(201) 354-1952
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA11514900
NJ
207Q00000X
Family Medicine Physician
289778
NY
Other
Enumeration date
05/21/2014
Last updated
03/10/2023
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