Individual
ISHAN SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1197 AMBOY AVE, EDISON, NJ 08837-2536
(732) 549-3875
Mailing address
1901 GREEN HOLLOW DR, ISELIN, NJ 08830-2950
(732) 589-9547
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03657800
NJ
Other
Enumeration date
09/20/2014
Last updated
09/20/2014
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