Individual
MR. ATUL M SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 PAVONIA AVE, JERSEY CITY, NJ 07306-2929
(201) 216-9666
Mailing address
600 PAVONIA AVE, JERSEY CITY, NJ 07306-2929
(201) 216-9666
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5016
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6479201
—
NJ
Enumeration date
02/20/2007
Last updated
07/09/2007
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