Individual
VISHAD SHETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2211
Mailing address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2211
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD462208
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
25MA11153900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
MT207213
PA
Other
Enumeration date
06/10/2014
Last updated
08/05/2021
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