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Individual

SHAMJI K SHAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
96 MILLBURN AVE, SUITE 200 A, MILLBURN, NJ 07041-1944
(973) 313-0011
(973) 763-1569
Mailing address
96 MILLBURN AVE, SUITE 200 A, MILLBURN, NJ 07041-1941
(973) 313-0011
(973) 763-1569

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
25MA404588100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8013802
NJ
Enumeration date
03/08/2006
Last updated
01/13/2011
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