Individual
DHIREN ASHWINBHAI SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
425 JACK MARTIN BLVD, BRICK, NJ 08724-7732
(732) 836-4817
Mailing address
425 JACK MARTIN BLVD., BRICK, NJ 08724
(732) 836-4817
(732) 836-4818
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA09868700
NJ
Other
Enumeration date
01/26/2016
Last updated
07/21/2022
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