Organization
DEEPAK SHAH, MD,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEEPAK OCHAVLAL SHAH M.D. (OFFICER)
(201) 792-2727
Entity
Organization
Contact information
Practice address
143 PALISADE AVE, JERSEY CITY, NJ 07306-1101
(201) 792-2727
(201) 653-3420
Mailing address
143 PALISADE AVE, JERSEY CITY, NJ 07306-1101
(201) 792-2727
(201) 653-3420
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0578703
—
NJ
Enumeration date
06/14/2011
Last updated
06/14/2011
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