Individual
SHIVUM GOHIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
591 CRANBURY RD STE 101, EAST BRUNSWICK, NJ 08816-4094
(732) 390-7645
Mailing address
12 AMARA CT, OLD BRIDGE, NJ 08857-3600
(732) 841-1913
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02950500
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/08/2022
Last updated
07/18/2023
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