Individual
DR. JAY SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
96 CAMPUS DR STE 1, SCARBOROUGH, ME 04074-7164
(207) 885-9905
Mailing address
PO BOX 739, VESTAL, NY 13851-0739
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
21709
NH
207RC0000X
Cardiovascular Disease Physician
287267
MA
207RC0000X
Cardiovascular Disease Physician
MD21629
ME
207RI0011X
Interventional Cardiology Physician
21709
NH
207RI0011X
Interventional Cardiology Physician
287267
MA
207RI0011X
Interventional Cardiology Physician
Primary
MD21629
ME
Other
Enumeration date
05/20/2014
Last updated
09/26/2022
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